62-year-old male with gallstone and wall thickening on recent CT examination. Presents with abdominal pain. ABDOMEN:LIVER, BILIARY TRACT: Note is made of a large gallstone at the level of the neck of a distended gallbladder. No gallbladder wall thickening, pericholecystic fluid, or increased T2 signal abnormality is identified in the surrounding liver parenchyma to suggest acute cholecystitis. No common duct stones are identified. There is no evidence of intra-or extrahepatic biliary ductal dilation.Subcentimeter foci of fluid signal intensity are too small to characterize but likely represent simple cysts versus biliary hamartomas.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Simple cyst in the interpolar region of the left kidney. Subcentimeter focus of fluid signal intensity in the inferior pole of the right kidney is too small to characterize, but likely represents a simple cyst.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.
Gallstone without evidence of common duct stone or acute cholecystitis.