Oh yes. These are gallstones in a variety of shapes and sizes, all from a single patient!! Gallstones, or cholelithiasis, are crystalline bodies formed within the biliary tree, including the gallbladder and the common bile duct, by the concretion of bile components, cholesterol, or a mixture of both. Usually, multiple small gallstones measuring about 0.5 cm will be present within the gallbladder. However occasionally there can be either one very large gallstone present measuring up to 5 cm diameter or hundreds of smaller stones the size of a grain of sand. This case meets the first criteria. Only that there are dozens of them seen with a prominent component of yellowish cholesterol. Cholecystectomy is the gold standard treatment for gallstone disease and can be done laparoscopically in 96% of the cases. Once gallstones become symptomatic, definitive surgical intervention with cholecystectomy is indicated. Photo by @xcaledobsonx