Right hypochondrium pain and elevated gamma-GT. No jaundice.
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Ultrasonography delineates dilated common bile duct along its entire length with echogenic stone (posterior acoustic shadowing) in its distal third. There are also small calculi and biliary sludge within the gallbladder. Discrete ectasia of intrahepatic bile ducts in the left lobe.
Choledocholithiasis is the presence of gallstone in the common bile duct.