Gallstone + tumification of sludge

Images by Tina Cullen   

A patient presents with abdominal pain. Examination of the gall bladder using ultrasound shows a solid rounded looking “tumified” sludge in the  gallbladder.  The stone casts an acoustic shadow and is in the neck of the gallbladder.  Colour Doppler can be  used to look to confirm this is not a tumour. There is no vascularisation of the sludge




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