### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
please see my ultrasound report and suggest :ULTRASOUND ABDOMEN WHOLE Findings: Mildly enlarged liver measuring 17.2 cm shows moderate increased echogenicity of parenchyma. No focal mass is seen in the liver. Intrahepatic biliary ducts are not dilated. Portal vein appears normal measuring 1.0cm. No evidence of thrombosis. Gallbladder is partially contracted at the time of the scan measuring 4.6x 2.2 cm. An echogenic focus cast shadows seen in the lumen of gallbladder measuring 1.6 cm suggestive of gallstones. No evidence of pericholecystic fluid. Common bile duct has normal caliber measures 0.49cm pancreas is partially obscured due to excessive bowel gases. Spleen is normal in size measuring 9.4 cm. Echotexture is uniform. No mass or cyst is seen in the spleen. Both kidneys appear normal in size, shape and position. Outline is smooth and well demarcated. No renal parenchymal disease is seen on either side. No mass or cyst is noted. No evidence of hydronephrosis on left side. minimal fullness is noted in right kidney. No calculus seen in both sides. Right kidney measures 12.2cm, with cortical thickness measures 1.2cm. Left kidney measures 12.3 cm, with cortical thickness measures 1.4 cm. No evidence of ascites. Urinary bladder has normal walls. No mass or calculus is seen within the urinary bladder. Mild hepatomegaly with moderate fatty changes suggestive of fatty infiltration of the liver would recommend clinical correlation. Gallbladder is partially contracted at the time of the scan. Cholelithiasis with no sonographic evidence to suggest cholecystitis. Minimal fullness is noted in right kidney could be due to infection/obstruction would recommend clinical correlation Pancreas and retroperitoneum are partially obscured due to excessive bowel gases. Rest of the scan is unremarkable incidental finding; Enlarged prostate with approximate volume of 36.5ml Impression: SONOLOGIST

### output:

Hello, In most cases, treatment of gallstones is considered necessary only if you are having symptoms.  Of the various conventional treatments that are available, surgical removal of the gallbladder is the most widely used. Some alternative treatments have also been found to be effective in alleviating the symptoms of troublesome gallstones. When deciding what course of action to take for symptomatic gallstones, doctors usually choose from among three main treatment options: Watchful waiting, nonsurgical therapy, and surgical removal of the gallbladder. Though a gallstone episode can be extremely painful or frightening, almost a third to half of all people who experience an attack never have a recurrence.  In some cases, the stone dissolves or becomes dislodged and thereby resumes its "silence." Because the problem may solve itself without intervention, many doctors take a wait-and-see approach following the initial episode. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.  Rammstein, General Surgeon