Painless jaundice, dilated CBD

Images:  Lee Juan Chiang  

A man presents to the emergency department jaundiced. He is no pain. A biliary ultrasound is performed to look for evidence of biliary obstruction. His GB is full of sludge and measures 10.6 cm

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The GB wall is not thickened, but the CBD measures 1.14 cm indicating biliary obstruction.

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