<s>[INST] Hi, Doctor This is my mother report Liver is enlarged in size & is normal in echotexture. Liver span in right MCL measures 155.6 mm. I.H.B.R.s are not dilated. Intrahepatic portal venous system and hepatic veins cue normal in caliber and branching. No focal lesion is seen.. Gall bladder is pathologically distended, fasting G. B volume is around 75.8 mi.& is normal in wall thickness. Thin sludge is seen in its lumen. No evidence of calculus or S.O.L is seen at the neck & in lumen. No evidence of peri-cholecystic oedema or collection is seen. [/INST] Hello, getrajnish, Your mother's gallbladder shows "Sludge" which is like gravel made up of cholesterol crystals. It is also distended. She can have acute gallbladder attacks just like if she had gallstones. The liver size is slightly enlarged but the structures are normal. I assume that the reason for doing this was due to some kind of symptoms she was experiencing. It could have been abdominal pain, nausea, vomiting etc. If any of these are present, she needs to have her gall bladder out. Surgery is done through laparoscopic method and it is usually in and out same day surgery. I would have her get all the blood tests for the liver and also blood count. She should also have her lipid levels checked including Cholesterol ,total,HDL,LDL and also triglycerides.Blood sugar too. I wish her well. </s>