Sir for a female patient,age ,59 yrs,USG remarks are as follows: Gall bladder is distended,wall is thickned 6.8mms,echogenic multiple echodense calculi casting ACshadow present in lumen of gall bladder,common bile duct is dilated 7.1. Chronic cholesystis with cholelithesis Kindly advice severeness,medication and management of disorder