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Gallbladder shows diffuse wall edema. There is a breach in its wall with a tiny collection ( 2 - 3 cc ) in gallbladder fossa. There are multiple calculi in gallbladder lumen; largest measuring up to 11 mm. Gallbladder lumen is filled with echoes. The common bile duct is normal in caliber without any calculus. Intra-hepatic biliary radicles are not dilated. Pancreas and main pancreatic ducts are normal.