Demographics:
85 years old, Male
Indication:
Right upper quadrant pain, positive sonographic Murphy ...
Right upper quadrant pain, positive sonographic Murphy sign
Findings
- Multiple gallstones layering in the gallbladder
- Gallbladder is distended with a thickened, hypoechoic wall
- Linear echogenic structures within the gallbladder lumen
- Small amount of pericholecystic fluid
- Liver is mildly enlarged, measuring 18.1 cm in craniocaudal span
- No biliary duct dilation
- Normal appearance of the kidneys, spleen, and of the visualized portion of the pancreas
Diagnosis
Acute cholecystitis
Sample Report
Cholelithiasis with gallbladder distension, gallbladder wall thickening and edema, pericholecystic fluid, and positive sonographic Murphy sign, consistent with acute cholecystitis.
Linear echogenic structures within the gallbladder lumen may represent sloughed membranes, which if true would raise concern for gangrenous cholecystitis.
Discussion
References