Question 548
{"accessible":false,"alternatives":[{"id":2747,"text":"cholelithiasis and pericholecystic fluid"},{"id":2748,"text":"cholelithiasis and sonographic Murphy sign"},{"id":2749,"text":"gallbladder wall thickening and cholelithiasis"},{"id":2750,"text":"gallbladder wall thickening and sonographic Murphy sign"},{"id":2751,"text":"pericholecystic fluid and gallbladder wall thickening"},{"id":2752,"text":"pericholecystic fluid and sonographic Murphy sign"}],"archived":false,"correctAlternativeId":2748,"explanation":"\u003cp\u003eThe most sensitive US finding in acute cholecystitis is the presence of \u003cstrong\u003echolelithiasis\u003c/strong\u003e in combination with the\u0026nbsp;\u003ca href=\"https://radiopaedia.org/articles/sonographic-murphy-sign\"\u003esonographic Murphy sign\u003c/a\u003e.\u0026nbsp;Both gallbladder wall thickening (\u0026gt;3 mm) and pericholecystic fluid are secondary findings.\u0026nbsp;\u003c/p\u003e\u003cp\u003eOther less specific findings include\u0026nbsp;\u003ca href=\"https://radiopaedia.org/articles/gallbladder-hydrops\"\u003egallbladder distension\u003c/a\u003e\u0026nbsp;and\u0026nbsp;\u003ca href=\"https://radiopaedia.org/articles/gallbladder-sludge\"\u003esludge\u003c/a\u003e.\u003c/p\u003e\u003cp\u003eEvery effort should be made to demonstrate the obstructing stone in the gallbladder neck or cystic duct.\u003c/p\u003e","id":548,"imageUrl":null,"imageAttribution":null,"imageAttributionCaseInfo":null,"firstQuestionPath":"/questions/2060","nextQuestionPath":"/articles/acute-cholecystitis/questions/547","relatedArticles":[{"id":23318,"title":"Sonographic Murphy sign","link":"/articles/sonographic-murphy-sign-1?lang=us"}],"alsoUsedIn":[{"id":622,"kind":"Course","title":"Radiopaedia 2020 - Lectures Only - page 622","link":"https://radiopaedia.org/courses/radiopaedia-2020-exclusive/pages/622"},{"id":622,"kind":"Course","title":"2020 Virtual Conference Private Use - page 622","link":"https://radiopaedia.org/courses/2020-virtual-conference-private-use/pages/622"},{"id":684,"kind":"Course","title":"Abdominal Emergency Radiology Course - page 684","link":"https://radiopaedia.org/courses/abdominal-emergency-radiology-course-online/pages/684"},{"id":684,"kind":"Course","title":"2020 Virtual Conference Private Use - page 684","link":"https://radiopaedia.org/courses/2020-virtual-conference-private-use/pages/684"},{"id":178,"kind":"Course","title":"Cases in Radiology: Abdomen - page 178","link":"https://radiopaedia.org/courses/cases-in-radiology-abdomen/pages/178"},{"id":166,"kind":"Course","title":"Abdominal Emergency Radiology Course - page 166","link":"https://radiopaedia.org/courses/abdominal-emergency-radiology-course-online/pages/166"}],"stem":"\u003cp\u003eThe most sensitive sonographic signs of acute cholecystitis are...\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/548"}],"attemptsPercentages":[{"alternativeId":"2749","percentage":13},{"alternativeId":"2751","percentage":21},{"alternativeId":"2748","percentage":26},{"alternativeId":"2752","percentage":8},{"alternativeId":"2750","percentage":29},{"alternativeId":"2747","percentage":3}],"promptToLogin":false,"questionManager":false,"articleId":"acute-cholecystitis"}