The gallbladder is distended and has a thickened wall, measuring up to 6 mm. A focus of wall discontinuity is noted near the gallbladder fundus (IM: 54) and pericholecystic fluid is noted. Multiple gallstones identified and stone is within the dilated cystic duct. No intrahepatic biliary dilatation. The common biliary duct is not abnormally distended. The liver has diffuse increased echogenicity in keeping with fatty infiltration. No hepatic focal lesions. The imaged pancreas has a normal sonographic appearance.