49 y/o WF presents to the ED with complaints of abdominal pain, nausea and vomiting since last pm. She states that she has had similar episodes in the past, but none have lasted this long. She denies F/C. PMHx: none PSHx: none Social Hx: none Meds: none Allergies: NKDA PE: VS: BP 121/53, P 87, R 18, T 98.7, Pox 98% (RA) GEN: Obese, WF, appears uncomfortable CHEST: CTA B, nonlabored CV: RRR, no M/R/G ABD: soft, obese, +TTP RUQ, +Murphy's sign, no rebound, no guarding, +BS EXT: no C/C/E Bedside US is performed with the following findings: What is the diagnosis? What sonographic sign is featured?
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