Right upper quadrant pain. Rising conjugated bilirubin/LFTs. Evaluate cholelithiasis, cholecystitis. ABDOMEN:LUNG BASES: Trace bilateral pleural effusions are present.LIVER, BILIARY TRACT: Sludge is present within the gallbladder with gallbladder wall thickening and small amount of pericholecystic fluid, suggestive of cholecystitis. Trace ascites is also noted. No evidence of intra or extrahepatic biliary ductal dilatation. Multiple lobulated T2 hyperintense bilobar hepatic lesions are incompletely evaluated without intravenous contrast, though likely represent cysts.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Limited exam by lack images postcontrast.2.Findings suggestive of cholecystitis.