The ED calls: right upper quadrant pain and fever

The referral

ED consultant, 03:10: 'Fifty-four-year-old woman, two days of right upper quadrant pain, now febrile with a white count of 16. Ultrasound in the morning. Are you happy for us to admit her under you?'

54-year-old woman, BMI 34, type 2 diabetes on metformin, two previous episodes of 'indigestion' after fatty meals.