You should better visit a nearest surgeon. This reports looks complicated. Besides gall stones there might be some other problem.
USG report There are stones (calculi) inside it, the largest being 13 mm at the neck.
There is also sludge (thick bile).
The wall between the gallbladder and liver looks a bit unclear → sometimes seen in inflammation.
The common bile duct (CBD) is enlarged (7.8 mm) → could mean some blockage or pressure from stones.
Mild fatty liver grade 1 + unidentified liver lesion
Groin region has mass at both sides probably from both ovaries
Advise mri abdomen and pelvis advised
The ultrasound report indicates several findings that need to be addressed. Starting with the gallbladder, it appears partially distended with a distorted contour, containing several stones (cholelithiasis) within its lumen, particularly one measuring 13 mm at the neck. There’s also mention of possible gallbladder sludge. The common bile duct (CBD) seems slightly prominent, measuring 7.8 mm which might suggest some degree of obstruction. Regarding the liver, a concerning large lesion is present in the right lobe, measuring 4.5 x 4.5 cm, with no visible internal blood supply—a CT or MRCP is recommended to better understand its nature. The liver parenchyma displays some mild fatty changes and a few dilated bile ducts. A few enlarged lymph nodes are noted around the pancreatic and portal areas. Now moving to the uterus and pelvic region, the uterus itself appears normal in size and texture with an endometrial thickness of 5 mm. However, in the pelvic cavity, there’s a large complex lesion, measuring 14 x 9 cm, extending into the right adnexal region with significant internal blood flow, and the right ovary isn’t distinctly visible separate from this mass. A similar, but smaller lesion, is present on the left; this one measures 6 x 5 cm and again the left ovary isn’t distinctly visible. Mild ascites, which is fluid in the abdominal cavity, is noted. Due to these complex findings, especially with the suspicion of ovarian neoplasm, an MRI of the pelvis is recommended to gain clearer insight into these lesions and their potential origins. The urinary bladder appears normal without concerning findings. Overall, next steps largely depend on the additional imaging suggested, particularly for the liver and pelvic findings, as they could influence management significantly, especially if there’s a chance of an underlying malignancy or if surgical intervention becomes necessary.
