What's the Diagnosis?

A 42 year-old female presents with HTN, DM, and obesity 4 days of abdominal pain. The pain is worsened by eating and associated with nausea; her vitals are within normal limits and she is afebrile. What's the diagnosis?



Answer: Cholelithiasis without cholecystitis


Ultrasonographic Findings of Cholelithiasis and Cholecystitis:

Cholelithaisis: visualization of hyperechogenic object with shadowing, generally >5mm in size


  • Gallbladder wall thickness > 3mm 
  • Pericholecystic fluid 
  • Sonographic Murphy's sign 

CholedocholithiasisDilation of common bile duct (>5mm is suspicious, >8mm pathogenic)