What Does My Radiology Report Indicate?

Posted on Mon, 23 Nov 2015

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Mon, 23 Nov 2015 Answered on

Mon, 14 Dec 2015 Last reviewed on

Question : Hi the patient has severe pain in the abdomen, the radiology report says :
Gallbladder appears well distended. Wall thickness is increased(10.2mm). E/o multiple hyper echoic foci are seen in lumen of gall bladder the largest measuring 8.8, 7.8 mms with posterior acoustic shadowing. No e/o diverticulum / pericholecystic fluid

Impression : Cholelithiasis with cholecystitis, Pelvic inflammatory diesease

Question : Is severe pain under the above circumstance normal in gall bladder stone of about 9mm? Is there any threat to life or can the surgery wait? Doctor in a rural district has suggested to take Z-Pain and Operactum and suggested to go back home and come back of surgery after swelling reduces(?). Patient has missed periods for the past 3 months

Answered by Dr. Suresh Heijebu (1 hour later)

Brief Answer:
Elective surgery is a must.

Detailed Answer:
Hello, Sir.

I can certainly understand your concern.

The pain in her case is directly related to the stone(s) in the gall bladder.

This might definitely need a surgery once the pain subsides.

Surgery can wait on an elective basis.

The lack of periods is due to PID.

Post your further queries if any.
Thank you.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj