u/AGamerlibrarian

I've been dealing with upper right abdomen issues since 2022, I saw a surgeon and was scheduled for surgery using an ultrasound scan from 2022 that showed some sludge but I asked for an ultrasound before and now I'm having doubts based on these findings, I know this isn't a medical place for medical info but I'm starting to suspect my issue might not be gallbladder related, could anyone maybe give me some clarity? I did contact my primary doctor and see what they say.

Impression IMPRESSION:

1. Mild hepatic steatosis.
2. No sonographic evidence of acute cholecystitis.
3. Right renal cyst with thin septation. Consider interval follow-up with renal ultrasound in one year to establish stability.

Date of Service: 05/08/2026 Narrative COMPLETE ABDOMINAL ULTRASOUND

HISTORY: Right upper quadrant pain.

COMPARISON: Outside CT on 02/17/2023

TECHNIQUE: Multiple transverse and longitudinal sonographic images were obtained of the upper abdomen.

FINDINGS:

LIVER: Mild increased echogenicity of the hepatic parenchyma, likely represent mild hepatic steatosis. Normal liver size, with midclavicular length measuring 15.3 cm. Main portal vein is patent with normal antegrade flow.

GALLBLADDER: Gallbladder wall thickness is within normal limit. There is no evidence of gallstone, sludge, or pericholecystic fluid.

COMMON BILE DUCT: Normal diameter of 4.4 mm.

PANCREAS: The pancreas is not well seen due to overlying bowel gas.

SPLEEN: 9.7 cm in length.

KIDNEYS: Right kidney length: 10.9 cm. Left kidney length: 10.9 cm. Normal size and echotexture. No hydronephrosis. Presence of a 1.9 x 1.5 x 1.3 cm cyst with thin septation within the upper pole of the right kidney.

ABDOMINAL AORTA: Normal caliber where visualized.

INFERIOR VENA CAVA: Visualized portions appear within normal limit.

FREE FLUID: None.

Hello all,

Back in 2022, I had ate an avocado ham sandwich and after lying down I felt this intense pain in my upper right abdomen, it hurt like hell, a constricting feeling. I didn't think much of it since I've suffered IBS issues and chronic pain most of my life but I did notice that this feeling of inflammation and some dull pain would linger. A whole week went by and one day at work I still felt this sensation accompanying with soreness, tiredness and feelings hot, I decided to go to the hospital. I waited a long time and once I saw a doctor, he ran an ultrasound test, the results found there was sludge in my gallbladder, no stones but since I didn't have a fever, wasn't vomiting or having intense pain I was discharged.

I was told to follow-up with my primary doctor and perhaps a referral to see a surgeon, I was told gallbladders aren't removed without further evidence of an issue or testing. Once I went to my primary, I was told by her to just remove the gallbladder, she could refer me to a surgeon and they could go from there. I did panic and asked if diet, testing or anything else could be done but she said that diet was not a fool proof plan and gallbladder issues don't get better over time. I decided to get two second opinions from different medical industries and they both ran ultrasound tests but found no stones in the gallbladder, no issues with the liver or pancreas yet still had this feeling of inflammation and radiating pain.

I I ratified my diet, cut all fast food, processed junk and eventually the pain went away, it took a few months but it seemed to work. I would rarely get pain maybe once a year but it would last maybe a week then I was okay.

Fast-forward to 2026 and a month ago I was dealing with grandparents passing away and although I only met them twice in my life, I was sad and a bit stressed. During this time I accidentally ate my mortal enemy the avocado and ever since then I've been having these flare ups and pinching pains, pain radiating from my upper right ribcage.

I decided to go to the doctor and explained the situation, they ran some blood work, h pylori test, hepatitis test. The only thing they found was ESR slightly elevated, ATL levels slightly elevated and some liver enzymes slightly elevated. I was referred to a surgeon with my scans of 2022.

The surgeon told me that I should remove it and I've been living life like a monk and it sounds miserable to monitor everything you eat and still have these issues, I'm scheduled for next Wednesday to remove the gallbladder.

I suffer from anxiety so it was hard to get my questions in because I instantly forget the moment I'm in a situation but is this a good idea? Could there be some other issues or would it have been worthwhile to do another ultrasound test then to just rely on the 2022 one, just to see if it isn't some other issue with the liver or pancreas? Would an updated scan be something I should do just to be on the safe side? Even know I do experience flare ups, pinching pains and ribcage pain. The surgeon was a very nice person, assured me I could go back to eating peanut butter and steaks and the recovery process usually is a week or two give or take. I'd like to just make sure this is the problem and not have something removed by mistake.

I'm unsure!