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[…]
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[…]
Images Genevieve Carbonatto Wall echo shadow. There is no anechoic bile filling the gallbladder because it is full of stones. A wall echo shadow occurs when the GB is entirely filled with gallstones. The gall bladder wall hugs the stones so that the gall bladder is difficult to identify.
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[…]
Images Eleanor Cook and Tina Cullen 33 year old RUQ pain . Stone in distal CBD 0.72 cm Transverse view of the GB. The GB could be easily missed in this view because it is full of stones. What alerts us to it’s presence is the shadow cast by the multiple stones within it. The Read more about Choledocholithiasis[…]
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[…]
Image by Genevieve Carbonatto Gallstones are casting their characteristic acoustic shadows