Case 4

A 34-year-old male presents with nausea, vomiting and diarrhea for the past 24 hours. He has required antiemetics and fluids in the ED. On your sonographic assessment, you note that the patient did NOT have a sonographic Murphy’s sign.
















1. Are there gallstones present?


2. Is there wall thickening? (>3mm)


3. Is there any pericholecystic fluid present?


4. What is your sonographic interpretation of the case?