Final answer:
The woman has symptomatic cholelithiasis with elevated bilirubin. Surgical removal of the gallbladder is the recommended management for this condition.
Step-by-step explanation:
In this case, the woman has symptomatic cholelithiasis, which means she has gallstones that are causing symptoms. The ultrasound confirmed the presence of gallstones and her bilirubin levels are elevated to 4mg/dL. Elevated bilirubin indicates a problem with the liver or bile ducts.
The management for this condition would typically involve surgical removal of the gallbladder, known as a cholecystectomy. This is the most effective treatment to prevent further complications from gallstones. After the surgery, the patient should follow postoperative instructions and notify the surgeon of any symptoms.