History of abdominal pain and transaminitis, evaluate for cholecystitis. BILIARY TRACT: The gallbladder is mildly hydropic but lacks significant wall thickening or associated pericholecystic fluid. No gallstones identified. No biliary ductal dilatation. The common bile duct measures up to 5.5 mm in diameter. The sonographic Murphy's sign is negative.
Hydropic gallbladder. Given lack of associated inflammatory changes or cholelithiasis, acute cholecystitis is considered less likely.