Ultrasound: Right Upper Quadrant
A focused ultrasound exam of the right upper quadrant was
performed by [myself/Dr. Resident under my supervision/independently with
images reviewed by myself] in the evaluation of patient with [describe
complaint]. Long and transverse views of
the gallbladder were obtained.
Sonographic Murphy’s sign was noted to be
[absent/present]. The patient was noted
to have [a single gallstone measuring ## mm/several
small gallstones/sludge in the gallbladder without clear stone]. The patient was noted to have [no evidence
of/a small amount of] pericholecystic fluid.
The anterior gallbladder wall was noted to measure [<3 mm/>3
mm]. The common bile duct [was/was not]
visualized [and noted to measure </>7 mm].
IMPRESSION:
Findings consistent with [cholelithiasis with/without evidence of gallbladder wall thickening/pericholecystic fluid and other findings suggestive of cholecystitis].
https://www.wikem.org/wiki/Biliary_ultrasound
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