Acute calculous cholecystitis
Right upper abdominal pain and fever
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Sludge-filled gallbladder with neck impacted gallstone and wall thickening
Ultrasound is the best imaging modality to do this diagnosis. The best diagnostic clue is: impacted galsstone in GB neck or cystic duct, wall thickening(>3 mm), pericholecystic collection and positive sonographic Murphy sign.