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Distended gallbladder with diffusely thickened and enhanced wall, and high-attenuating content (echogenic on ultrasound, not shown) with perivesicular fat stranding. Impacted gallstone (18 mm) in the gallbladder neck with no compression of the common hepatic duct (CHD) or dilatation of the IHBD. Normal CBD.
A small simple left renal cyst is noted.