Abdominal pain for the last one week.
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The gallbladder is distended and contains some sludge with several low signal filling defects, less than 25mm, inferring stones. One of them is located in the gallbladder neck, exerting extrinsic compression on the adjacent CBD, causing severe diffuse intrahepatic bile ducts dilatation. The maximum caliber of CBD in the proximal and distal segments measures 22mm and 9mm respectively.