Generalized abdominal pain. ABDOMEN:LIVER, BILIARY TRACT: The gallbladder is full of numerous gallstones including the neck of the gallbladder. There is mild gallbladder wall thickening, pericholecystic fluid, wall hyperenhancement and adjacent reactive hepatic parenchymal hyperenhancement. No choledocholithiasis. No intrahepatic or extrahepatic biliary ductal dilatation.The liver is normal in morphology, signal intensity and enhancement. Stable segment 6 punctate lesion is too small to characterize. No suspicious focal liver lesion or biliary ductal dilatation.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: Left adrenal lipid rich adenoma measuring 2.8 x 1.7 cm. Mild right adrenal nodularity.KIDNEYS, URETERS: Simple appearing left renal cortical cyst. No hydronephrosis or suspicious lesion.RETROPERITONEUM, LYMPH NODES: No enlarged retroperitoneal lymphadenopathy.BOWEL, MESENTERY: Large duodenal diverticulum. No evidence of bowel obstruction. Colonic diverticulosis without diverticulitis.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
The gallbladder is distended with numerous gallstones, wall thickening, wall hyperenhancement and pericholecystic fluid suspicious for acute and/or chronic cholecystitis. No discrete enhancing mass to suggest gallbladder malignancy.