Indication: Right upper quadrant pain
Sonographic Murphy sign: Negative
Extensive mural calcification of the gallbladder (“porcelain gallbladder”), which is associated with an increased (but still low) risk for gallbladder adenocarcinoma. Although there are no specific findings for acute cholecystitis, the gallbladder is difficult to assess on this study and surgery consultation should be pursued if there are ongoing symptoms. If cholecystectomy is not performed, then followup surveillance imaging with contrast-enhanced CT or MRI is recommended in 6-12 months.
No additional findings to explain right upper quadrant pain.