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