Male 67 years old; Reason: assess for cholecystitis History: sepsis LIVER: The liver is incompletely visualized however numerous ill-defined lesion seen within the liver on prior CT are not visualized on this study.GALLBLADDER/BILIARY TRACT: The gallbladder wall measures 1.9 mm but is difficult to define in this study. Several small shadowing echogenic foci are seen within the gallbladder. Negative sonographic Murphy sign. There is a trace amount of pericholecystic fluid which is likely compatible with patient's current ascites, seen better on prior CT. The common bile duct was unable to be visualized due to difficulty with technique and overlying bowel gas.
1. Cholelithiasis without overt sonographic evidence of acute cholecystitis. There is a trace amount of pericholecystic fluid which is likely compatible with patient's ascites. This study is limited however and acute cholecystitis, although unlikely, cannot be entirely ruled out.2.The common bile duct was not able to be visualized due to difficulty in technique and overlying bowel gas.3. Multiple ill-defined lesions within the liver seen on CT are not well visualized on this ultrasound.