Right upper quadrant pain.
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Multiple gallstones including one impacted at the gallbladder neck. The gallbladder wall is very thickened measuring up to 19 mm with a "laminated" appearance of the wall. The gallbladder wall is hyperemic in regions although there are areas of absent Doppler signal. Small volume of pelvic free fluid.
Mild fatty liver. No focal hepatic lesion. Mild extrahepatic duct dilatation with the common bile duct measuring 0.6 cm. No choledocholithiasis identified. No intrahepatic duct dilatation. The kidneys, spleen and aorta are within normal limits.