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 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
Images by Genevieve Carbonatto Sludge and stone in neck of gallbladder Transverse view. Sludge layer in dependent part of gallbladder
Images by Tina Cullen Solid looking “tumified” sludge in gallbladder. Stone in neck. Longitudinal view of GB. Sludge is rounded and tumified, stone casts an acoustic shadow Transverse scan through the GB. The sludge is seen first and then the stone casting it’s shadow No vascularisation of structure confirms this is not a tumour Transverse scan Read more about Gallstone + tumification of sludge[…]
Images by Genevieve Carbonatto Large stone in neck. GB wall not thickened Panning through the gallbladder to the large stone is visualised first and then smaller stones are actually closer to the true cystic duct within the neck of the gallbladder The CBD is not dilated
Images by Genevieve Carbonatto Numerous mobile stones in GB Longitudinal view Scanning through the GB in the transverse plane from the fundus to the neck