Right upper quadrant abdominal pain LIVER: Mildly echogenic liver echotexture without mass. Liver length 15 cmGALLBLADDER, BILIARY TRACT: Mild diffuse gallbladder wall thickening with trace pericholecystic fluid. Stones and sludge. No ductal dilatation. A Murphy's sign could not be elicited due to the patient's pain medicationPANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. 9 cm in lengthOTHER: Left kidney 9.4 cm in length. Spleen 9.7 cm in length. No ascites.
Mild diffuse gallbladder wall thickening with trace pericholecystic fluid associated with stones and sludge. No ductal dilatation. A Murphy's sign could not be elicited due to the patient's pain medication; acute cholecystitis is suspected.