RUQ pain in FT

30yo male with RUQ pain and tenderness was seen in FT. 

Afebrile obs normal 

EDUS:

Clip of GB long

trans mid GB

trans GB neck

Stills annotated below to show the features of cholecystitis

So, when you see a stone impacted in the neck of the GB, sit the patient up or roll them to L lateral decubitus to see if the stone moves to the fundus. If it does not as in this case: it's impacted.

The most sensitive features of cholecystitis for EDUS are seeing a GB stone and eliciting sonographic murphey's sign.

For a more detailed discussion of cholecystitis US click on the button below: