Common pitfall – Stones in the gall bladder – Adenomyomatosis

Images Ying Ying Lee, text Genevieve Carbonatto A 44 year old man presents with acute abdominal pain. His pain is mainly epigastric but you are concerned about the possibility of cholecystitis, cholelithiasis or choledocholithiasis. While scanning the patient in the supine position, you think you can see stones in the GB. They do not appear Read more about Common pitfall – Stones in the gall bladder – Adenomyomatosis[…]

Cholecystitis, Wall Echo Shadow

Images Genevieve Carbonatto  Cholecystitis. Gallbladder full of stones.  The ultrasound appearance of the gallbladder wall , hyperechoic stones (echo) and then the shadow of the stones is referred to as “wall echo shadow ”                         This gallbladder which is full of stones can easily Read more about Cholecystitis, Wall Echo Shadow[…]

Empyema of the gallbladder

Images by Bashir Chakar   Multiple fibrin septations in gallbladder. Patient presented with fever and abdominal pain. Free drainage of pus from gallbladder during cholecystectomy Scanning though the gallbladder, multiple thin fibrin septations are seen, reminescent of lung empyemas. Thickened GB wall, 0.48cm                           Read more about Empyema of the gallbladder[…]

Stone in neck, but mobile

Images by Genevieve Carbonatto   Acute onset epigastric pain associated with vomiting.  GB exam shows stone in neck with the patient supine. The GB wall is not thickened. With the patient in the left lateral position, the stone moves. The stone is therefore not impacted     GB wall not thickened. 0.29cm Patient in left lateral Read more about Stone in neck, but mobile[…]