A 34-year-old female presents with RUQ / midepigastric abdominal pain after eating dinner. She denies history of 
chronic abdominal problems but states this pain has been recurring with increasing frequency lately and seems to be related to eating. Her vitals are stable and her examination is only remarkable for the midepigastric and RUQ tenderness with guarding but no rebound. Her ED labs are unremarkable. You perform a focused GB exam and note the following:
Take the case.