Gallstones. Ultrasound scan of the gallbladder of a 86 year old female patient showing two large gallstones. Gallstones (choleliths) are most commonly hard deposits of cholesterol that form due to an imbalance between bile and cholesterol levels. Stones can also arise from bilirubin and calcium salts found in bile, which is produced by the liver and then stored by the gallbladder until it is needed.