Chest and epigastric pain.
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Several mobile calculi are shown in a thin-walled gallbladder, which was non-tender during the examination. There is no pericholecystic free fluid. The common bile duct measures no more than 7 mm in diameter. Pancreas and liver are normal in appearance.
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Cholelithiasis or gallstones is a very common cause of abdominal pain. Whenever cholelithiasis is seen in the acute, symptomatic setting the patient should also be examined for acute cholecystitis.