Hi, The ultrasound report states that multiple real-time images and Doppler studies were taken, which revealed that the patient has multiple gallstones in their gallbladder. The gallbladder wall is mildly thickened, which could indicate inflammation or infection. The common bile duct, which carries bile from the liver to the small intestine, is of normal size and there is no dilation, which suggests that there is no obstruction to the flow of bile. The liver appears normal and there is no noted abnormality in the liver tissue. The portal and hepatic veins, which carry blood to and from the liver, are normal and patent, meaning they are open and unobstructed. The head and body portions of the pancreas, which is a glandular organ that produces digestive enzymes and hormones such as insulin, are within normal limits, indicating no signs of inflammation, cysts, or tumors. The right and left kidneys appear normal in size and shape, and there is no evidence of any fluid build-up (hydronephrosis) in the kidneys. The abdominal aorta, which is the main artery in the abdomen that carries blood to the lower body, appears normal. Overall, the report suggests that the patient has gallstones and some inflammation in the gallbladder wall, which could be causing discomfort and symptoms. The report does not suggest any significant abnormalities in other organs or structures in the abdomen. Surgery to remove the gallbladder may be necessary to relieve symptoms and prevent complications. The method of surgery (open vs laparoscopic) will depend on the specific circumstances of the patient and should be discussed with their doctor. If you require a personalized response, kindly use the Ask A Doctor service and post a follow-up. Take care. Hope I have answered your question. Regards, Dr. Priyanka, General & Family Physician