Right upper quadrant pain LIVER: Non-cirrhotic liver morphology. Normal parenchymal echogenicity. No focal hepatic lesions. Normal portal venous blood flow and direction.GALLBLADDER, BILIARY TRACT: No biliary ductal dilation. 15 mm gallstone noted in the gallbladder neck, with mild gallbladder distention, wall thickening, and pericholecystic fluid. Positive sonographic Murphy's sign.PANCREAS: No sonographic abnormality evident in the visualized pancreatic head and neck. The body and tail are obscured by bowel gas.KIDNEYS: The right kidney is 14.7 cm in length. The left kidney is not well visualized. No suspicious renal lesions are evident. No hydronephrosis is seen.SPLEEN: 11.2 cm in length, without focal lesions evident.OTHER: No significant abnormalities noted. No significant abdominal free fluid identified.
Acute calculous cholecystitis.