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









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

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