A Gallbladder Filled with Numerous Radiolucent CalculiClinical HistoryA 56-year old lady presented with abdominal pain and some bowel symptoms.Case DescriptionCT abdomen and pelvis with contrast revealed mild thickening of the gallbladder wall, however, no radiopaque calculus (radiolucent calculi) was seen. Ultrasound was advised.An ultrasound of the abdomen after adequate fasting (>6 hours) revealed a mildly thick-walled gallbladder filled with numerous calculi (radiolucent calculi).Diagnosis/ Discussion/ Treatment/ Follow upThe patient was referred to the surgical team to discuss plans for cholecystectomy if clinically indicative.Sonograms Longitudinal image of the gallbladder containing numerous calculi within its lumenAxial Image of the gallbladder containing numerous calculiGallbladder wall showing some increased thickness of 5 mm in AP calibre (normal = up to 3 mm)Longitudinal view of the gallbladder filled with numerous calculiNormal calibre of the common bile ductAxial CT of the gallbladder , performed recently, showing wall inflammation with no radiopaque calculi within the lumenPublished on: September 25, 2024
