A 45 year old female presents with a complaint of ...

Thickening of the gallbladder wall (greater than 4-5mm) or fluid surrounding the gallbladder are very suggestive of acute cholecystitis. It should be noted that thickening of the gallbladder wall is not pathognomatic for cholecystitis, as it can also be found in cirrhosis, portal hypertension, and other chronic conditions. ................
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