Imaging Case: Woman with Abdominal Pain
Case: A 42 year old female patient with a past medical history significant for diabetes, obesity and hypertension presents to the ED with chief complaint of 4 days of abdominal pain. It is notably worsened by eating, is associated with nausea, and she denies fevers, vomiting, or diarrhea.
- Blood Pressure 142/82 mmHg
- Pulse 83
- Respiratory Rate 18
- SpO2 98%
- Temperature 98.6 degrees F
Pertinent Physical Exam: Calm and pleasant patient who has RUQ tenderness upon palpation, the remainder of her physical exam is unremarkable.
A bedside ultrasound of the RUQ is obtained in the ED with the following findings:
Which of the following is NOT a chief component in determining cholecystitis on right upper quadrant ultrasound?
- Gallbladder wall thickening
- Pericholecystic fluid
- Dilated bile ducts
- Pain with pressure from the ultrasound probe when it is directly over the gallbladder
- Number of gallstones