Conversation: The conversation between human and AI assistant.
[|Human|] 45 years old my mother is suffering from diabetic,hypertension,hypothyroid and as per her present ultrasonogram abdomen report shown gallbladder grossly distended.wall thickness normal GB diameter:6.17cm internal floating echoses seen.About 1.73cm impacted calculus seen in the neck.what is your opnion sir?
[|AI|]  Hi, I am so sorry to hear about your mothers' diagnosis. The gall bladder (GB) stores bile and empties it into the bile duct through the cystic duct. Stones form in the GB most of the time and is seen as an incidental finding in most USG scans of the abdomen. In most people these stones do not cause any problems and so do not need any treatment. But unfortunately for some it causes infection and inflammation in the GB, necessitating surgery to remove the GB. In your mothers case, the stone is blocking the cystic duct of the GB, causing distension of the GB, and I am sure pain and fever as well. Since the wall thickness is normal, inflammation has not set in yet, but given that your mother is a diabetic, she is at a very high risk to develop it. So I would suggest you seek surgical help at the earliest and proceed with a laparoscopic Cholecystectomy (removal of GB). It can be safely done at most surgical centers and is a routing procedure now-a-days. Hope this helped and hope your mother starts to feel better. Please do not hesitate to contact me for any further details required - rxsuresh@gmail.com