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Updated on March 18, 2025

A Gallbladder Filled with Numerous Radiolucent Calculi

Clinical History

A 56-year old lady presented with abdominal pain and some bowel symptoms.

Case Description

CT 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 up

The 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 lumen
Axial Image of the gallbladder containing numerous calculi
Axial Image of the gallbladder containing numerous calculi
Gallbladder wall showing some increased thickness of 5 mm in AP calibre (normal = up to 3 mm)
Gallbladder wall showing some increased thickness of 5 mm in AP calibre (normal = up to 3 mm)
Longitudinal view of the gallbladder filled with numerous calculi
Longitudinal view of the gallbladder filled with numerous calculi
Normal calibre of the common bile duct
Normal calibre of the common bile duct
Axial CT of the gallbladder , performed recently, showing wall inflammation with no radiopaque (radiolucent calculi) calculi within the lumen
Axial CT of the gallbladder , performed recently, showing wall inflammation with no radiopaque calculi within the lumen

Published on: September 25, 2024

Author

Sonohive

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A Gallbladder Filled with Numerous Radiolucent Calculi

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