POCUS and recurrent abdominal pain in the elderly

A 82 yr. old patient came in for chronic recurrent epigastric pain. A CT was done on the previous admission which showed pancreatic calcifications, consistent with chronic pancreatitis. On this visit the patient had a similar presentation. She looked well, with a pretty benign abdomen and normal labs. I was pressed for time and didn’t really feel like getting the U/S out, figuring that it wouldn’t likely add anything to a diagnosis of chronic pancreatitis. However I decided to POCUS and sure enough the GB was full of stones/distended and tender. At surgery later in the day she had a necrotic GB.