Male; 61 years old. Reason: eval for choledocholithiasis History: fever, abdominal pain, elevated biliary enzymes Moderate motion artifact limits contrast-enhanced images.ABDOMEN:LIVER, BILIARY TRACT: No focal hepatic lesions. No intrahepatic biliary ductal dilation. Distended gallbladder with biliary sludge and/or small stones. There is mild circumferential gallbladder wall thickening with increased enhancement. These findings are most compatible with acute cholecystitis. The distal cystic duct and entire common bile duct are patent and normal in caliber without evidence of choledocholithiasis. 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. Findings most compatible with acute cholecystitis. 2. No evidence of choledocholithiasis.3. Moderate motion artifact limits contrast-enhanced images.