Multiple non-obstructing calculi noted in the gallbladder fundus. The gallbladder is distended and tender to probe, but the wall is not thickened (2mm). No pericholecystic fluid.
2 calculi in the CBD, measuring 20 x 8mm and 6 x 4mm. The CBD is mildly dilated (7mm).
The pancreas is not well visualised but the main pancreatic duct measures
\R\20mm in diameter. The intrahepatic ducts are not dilated.
The liver, kidneys, spleen, and aorta are unremarkable. Small renal cyst in the left lower pole. No ascites.
Conclusion: Cholelithiasis and choledocholithiasis - with 2 calculi seen in the common bile duct. Tender gallbladder without sonographic features of cholecystitis.