The gallbladder in this patient was severely dilated with a periserosal inflammatory pattern and ill defined fat. This encompassed the neck of the gallbladder and entered into the cystic duct. Suspended, immobile biliary sludge was noted with areas of striations. The common bile duct was barely visible through the echogenic, ill defined fat, yet was mildly dilated at 0.7 cm. This is likely embedded with inspissated bile. Flushing the common bile duct at the time of surgery is essential. The gallbladder measured approximately 6 x 4 cm. The remainder of the liver was unremarkable other than mildly increased portal markings. The right limb of the pancreas was also inflamed with ill defined surrounding fat. This is likely an extension of the gallbladder inflammation. The right adrenal gland presented a hyperechoic, expansive nodule measuring 2.05 cm at the cranial pole and the caudal pole measured 0.63 cm and 3.67 cm in length. This is most consistent with adenoma with a minor potential for adenocarcinoma. This may or may not be functional. The left adrenal gland was uniform to slightly flattened to the isoechoic surrounding fat. The left adrenal gland measured 2.71 x 0.52 cm at the cranial pole and 0.56 cm at the caudal pole.