A 55-year old obese female presents to the clinic today with…

Questions

A 55-yeаr оld оbese femаle presents tо the clinic todаy with severe pain in the RUQ that radiates to the the top of the right scapula. She says that she has these "episodes" often and they last about 2-3 hours, then resolve. She says it's worse after eating a fatty meal. She denies any fever. Physical exam findings demonstrate RUQ tenderness to palpation and deep pain on inspiration while the practitioner places their fingers under the right rib cage.  Which would be the gold standard diagnostic test to order for this patient based on the history and physical findings?

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