Reason: 44 yo F w/ lower abdominal pain, N/V, CT shows thickened gallbladder. Evaluate for cholecystitis. BILIARY TRACT: Cholelithiasis with shadowing stones throughout the gallbladder. Equivocal gallbladder wall thickening measuring up to 3.4 mm. No definite pericholecystic fluid. The sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 3 mm in diameter.
Cholelithiasis and equivocal gallbladder wall thickening raising the possibility of acute cholecystitis. Nuclear medicine HIDA scan could be considered for additional evaluation as clinically warranted.