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What Do My Ultrasound Test Results Indicate?
Question: Looking for second option, I have history of gallstones. Went to ER after recent attack. Pain, tenderness, cramps. Ultrasound report showed:
- mild wall thickening up to 5 mm.
- relatively mild gallstones.
- No bile duct blockage. Biliary tree normal.
- No evidence of ascites.
- Negative Murphy's sign.
- Impression: cholethiliasis. mild wall thickening "may be related to evolving or improving cholecystitis." "Correlate clinicically".
Attending physician says wall thickening not clinically significant. He rules out cholecystitis based on clinical findings and other US findings. No fever. No nausea. No great pain. Just some burning tenderness/achiness in abdomen. Says definitely not cholecystitis. Does this make sense in light of abnormal finding re. Wall thickening? Can I be 100% certain no cholecystitis. I am concerned because I am traveling abroad in two days and don't want complications on trip. Feel generally fine now. Minor achiness in abdomen. Still eating, not sick.
Also, forgot to mention normal blood test results.
- mild wall thickening up to 5 mm.
- relatively mild gallstones.
- No bile duct blockage. Biliary tree normal.
- No evidence of ascites.
- Negative Murphy's sign.
- Impression: cholethiliasis. mild wall thickening "may be related to evolving or improving cholecystitis." "Correlate clinicically".
Attending physician says wall thickening not clinically significant. He rules out cholecystitis based on clinical findings and other US findings. No fever. No nausea. No great pain. Just some burning tenderness/achiness in abdomen. Says definitely not cholecystitis. Does this make sense in light of abnormal finding re. Wall thickening? Can I be 100% certain no cholecystitis. I am concerned because I am traveling abroad in two days and don't want complications on trip. Feel generally fine now. Minor achiness in abdomen. Still eating, not sick.
Also, forgot to mention normal blood test results.
Brief Answer:
does not sound like cholecystitis
Detailed Answer:
Hello,
although a negative ultrasound scan cannot rule out cholecystitis, minimal clinical signs are very much against it and the same applies for normal blood tests. First of all cholecystitis causes pain which does not go away until the inflammation is over. The negative Murphy's sign is against cholecystitis.
The blood tests (in cholecystitis) may reveal increased white blood cells count with an increased percentage of polymorphonuclear cells. Sometimes the transaminases and bilirubin are also elevated.
Your pain could be related to stomach or duodenal problems since it has a burning quality but it could also be related to the gallstones. Gallbladder colic may occur after a fatty meal and last for minutes (definitely less than 1 hour). A high SGOT (AST) is usually present. The gallbladder thickening could be related to the gallstones too.
So in conclusion, I cannot say that you're absolutely safe for two reasons: the first one is that there is no solid diagnosis still and the second one is that the gallstones (even if they're not involved in your current situation) may cause serious complications like pancreatitis, so they'll have to be taken care of at some point.
Kind Regards!
does not sound like cholecystitis
Detailed Answer:
Hello,
although a negative ultrasound scan cannot rule out cholecystitis, minimal clinical signs are very much against it and the same applies for normal blood tests. First of all cholecystitis causes pain which does not go away until the inflammation is over. The negative Murphy's sign is against cholecystitis.
The blood tests (in cholecystitis) may reveal increased white blood cells count with an increased percentage of polymorphonuclear cells. Sometimes the transaminases and bilirubin are also elevated.
Your pain could be related to stomach or duodenal problems since it has a burning quality but it could also be related to the gallstones. Gallbladder colic may occur after a fatty meal and last for minutes (definitely less than 1 hour). A high SGOT (AST) is usually present. The gallbladder thickening could be related to the gallstones too.
So in conclusion, I cannot say that you're absolutely safe for two reasons: the first one is that there is no solid diagnosis still and the second one is that the gallstones (even if they're not involved in your current situation) may cause serious complications like pancreatitis, so they'll have to be taken care of at some point.
Kind Regards!
Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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