Elevated lipase and LFTs with gallbladder wall thickening seen on recent CT LIVER: Mild hepatomegaly. Liver length 19.2 cm.BILIARY TRACT: Gallbladder wall thickening with pericholecystic fluid associated with numerous gallstones. A Murphy's sign could not be elicited. Prominent extra hepatic duct without obvious distal obstructing lesion or intrahepatic ductal dilatation.PANCREAS: No significant abnormalities noted.SPLEEN: No significant abnormalities noted. 8.4 cm in lengthRIGHT KIDNEY: Right renal cyst. Right kidney 9.2 cm in length. OTHER: Left kidney 10.4 cm in length.
Gallbladder wall thickening with pericholecystic fluid associated with cholelithiasis. Although a Murphy's sign could not be elicited, the ultrasonographic findings are suggestive for acute cholecystitis. 