Welcome at HCM i have gone through your query and being your doctor I completely understand your health concerns.... Based upon the history you have provided it is very difficult to pinpoint the diagnosis... Normally inflammation Of gall bladder is associated with pain in right hypochondrium which increases after fatty food intake... On ultrasound there may be stones in gallbladder or it may be without stones with thick wall...I am not sure about the shadows which you ate talking about....plz elaborate.. Raised wbc count in context of this history would strongly suggest gall bladder inflammation... You should consult your surgeon for proper management. . Hope your query is adequately answered Regards Dr Saad Sultan