Ultrasound Video Challenge – Intestinal/Biliary

We bring you our weekly SonoSim Ultrasound Challenge! Can you give us the correct answer?

This 46-year-old female presents with right-sided abdominal pain and a WBC count=16,000. T=40C BP=100/60 mmHg HR=100 bpm RR=18. Please examine her right upper quadrant with ultrasonography.