What clinical symptoms are most likely associated with the abnormality shown in the sonogram?

The most likely clinical symptoms associated with the abnormality shown in the sonogram are severe right upper quadrant pain, a positive Murphy sign, and jaundice.

Severe right upper quadrant pain often indicates issues related to the liver, gallbladder, or biliary system. The Murphy sign is a physical exam test used to detect gallbladder inflammation; a positive result suggests gallbladder disease, especially cholecystitis, which is characterized by pain upon palpating the area when the patient takes a deep breath. Jaundice, which is the yellowing of the skin and eyes, occurs when there is an excess of bilirubin in the blood, often indicating a problem with liver function or bile flow. In this context, a condition such as acute cholecystitis or biliary obstruction significant enough to cause inflammation and compromise liver function leading to jaundice would be consistent with these symptoms.

Understanding these associations helps clarify how these clinical findings align with the sonographic abnormalities that are likely being depicted.