Assess the gallbladder. Concern for acute cholecystitis. Right upper quadrant pain. ABDOMEN: The study was limited by the patient's inability to tolerate the examination. Not all of the standard sequences were obtained, including dedicated MRCP images. However, the images were obtained were diagnostic as follows:LIVER, BILIARY TRACT: The liver is normal in morphology size and signal intensity. No focal liver lesion is identified.The gallbladder is distended with pericholecystic fluid and inflammatory changes compatible with acute cholecystitis. There are punctate gallstones. There is a round filling defect in the mid common bile duct (series 5/25). The common bile duct is prominent measuring up to 8 mm with a filling defect at the level of the superior pancreatic head which may represent an additional stone and/or debris.SPLEEN: No significant abnormality noted.PANCREAS: The pancreas is normal in signal intensity without adjacent inflammatory changes. Normal caliber main pancreatic duct.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Atrophic kidneys bilaterally without hydroureteronephrosis.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.
Cholelithiasis and findings suspicious for acute cholecystitis. Suspected choledocholithiasis with mild common bile duct dilatation.