Acute right upper quadrant pain for last four days.
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Gall bladder overdistension (11 x 5 cm), diffuse wall thickening, pericholecystic collection and fat stranding, lithiasis in gallbladder neck.
CT features of acute cholecystitis are cholelithiasis, gallbladder distension, wall thickening, mural or mucosal hyperenhancement, pericholecystic fluid and inflammatory fat stranding and enhancement of the adjacent liver parenchyma.