Abdominal Pain
What to scan:
Findings
Use the corresponding finding images to identify what pathology your patient may have. Please remember that multiple diagnoses may exist at the same patient.
Gallbladder:
Normal
Gallbladder:
Normal


Cholelithiasis
Gallbladder:
Normal


Stones shadow
Cholecystitis
Gallbladder:
Normal


Thickened GB wall
Pericholecystic fluid
Sonographic Murphy’s
Choledocholithiasis & Cholangitis
Gallbladder:
Normal


“Double barrel” looks like second portal vein
+/- signs of cholecystitis
Hydronephrosis:
Cholelithiasis
Gallbladder:
Normal


Moderate
Gallbladder:
Normal


Cholecystitis
Gallbladder:
Normal


Choledocholithiasis & Cholangitis
Gallbladder:
Normal


“Double barrel” looks like second portal vein
+/- signs of cholecystitis
Bowel Obstruction:
Gallbladder:
Normal


Normal
Gallbladder:
Normal


Stones shadow
Gallbladder:
Normal


Thickened GB wall
Pericholecystic fluid
Sonographic Murphy’s
Gallbladder:
Normal


“Double barrel” looks like second portal vein
+/- signs of cholecystitis
Peritoneal Fluid:
Right Upper Quadrant
Gallbladder:
Normal


Normal scan
Gallbladder:
Normal


Stones shadow
Thickened GB wall
Pericholecystic fluid
Sonographic Murphy’s
Gallbladder:
Normal


Normal scan
Gallbladder:
Normal


Check between spleen and diaphragm!
Pelvis
Gallbladder:
Normal


“Double barrel” looks like second portal vein
+/- signs of cholecystitis
Gallbladder:
Normal


Free fluid in pelvis
Appendicitis:
Gallbladder:
Normal


Blind-ended, non-compressible
Please note: it is almost impossible to find an appendix in a normal patient.
AAA:
Normal Aorta
Gallbladder:
Normal


Enlarged AAA
Gallbladder:
Normal


Ectopic Pregnancy:
Gallbladder:
Normal


Normal
Gallbladder:
Normal


Stones shadow
Enlarged or Ruptured Adnexal Cystic Structures:
Stones shadow
Gallbladder:
Normal


Ovarian Cyst
Gallbladder:
Normal


Look for signs of rupture with free (peritoneal) fluid (shown above)
Scrotum:
Cholecystitis
Gallbladder:
Normal


Cholelithiasis
We don't have a testicular torsion clip yet, but it is a possible outcome.
If you have a testicular torsion clip to donate, please contact us!
