Female 26 years old; Reason: eval cholecystitis, ductal blockage History: RUQ abdominal pain, gallstones on CT The exam was slightly limited due to patient's body habitus.The gallbladder wall measures 3.9 mm. Two echogenic shadowing foci are seen within the gallbladder with a small amount of sludge. The patient did have a positive sonographic Murphy's sign. No pericholecystic fluid is seen. The common bile duct measures 3.8 mm in diameter. The portal vein is patent with hepatopetal flow. The liver is only partially visualized however no worrisome masses or intrahepatic ductal dilation are seen.
Cholelithiasis with equivocal sonographic evidence for acute cholecystitis.