Gallstones Gallstones. Only a small percentage of gallbladder calculi are visible on radiographs (~10%). Although a larger proportion are visible on CT, ultrasound remains the best first-line imaging test for identifying calculi in the gallbladder. Related Case Studies Multiple gallstones Porcelain gallbladder Acute cholecystitis Gallstone – ultrasound Pneumothorax – expiration Acute appendicitis – US