Demographics:
73 years old, Female
Indication:
Right-sided abdominal pain, positive sonographic Murphy...
Right-sided abdominal pain, positive sonographic Murphy sign
Findings
- Gallbladder is mildly distended with wall thickening and possible trace pericholecystic fluid
- No gallstones
- Liver is enlarged, measuring 21.8 cm in craniocaudal span, with diffusely increased parenchymal echogenicity
- Patent portal and hepatic veins with antegrade flow
- No intrahepatic or extrahepatic biliary duct dilation
- Normal appearance of the right kidney and of the visualized portion of the pancreas
- Visualized portions of the abdominal aorta are normal in caliber
- No ascites
Diagnosis
Acalculous cholecystitis
Sample Report
Gallbladder is mildly distended with wall thickening and possible trace pericholecystic fluid. Given a positive sonographic Murphy sign and in the absence of gallstones, these findings raise concern for acalculous cholecystitis.
Hepatomegaly with hepatic steatosis.
Discussion