Test Yourself

Case 1

HISTORY

A middle aged woman was investigated for right sided abdominal pain and fevers. She had a past history of rheumatoid arthritis and was on long term steroids. An abdominal ultrasound was ordered to look for the source of her fever.

ULTRASOUND FINDINGS

Multiple echogenic masses which demonstrated shadowing were seen in the gallbladder, consistent with multiple gallstones. The gallbladder wall is not thickened and there is no pericholecystic fluid. The transverse gallbladder images also demonstrate a gallbladder polyp on the superior wall. The patient did not describe any tenderness to probe pressure on the gallbladder (sonographic Murphy's sign absent).

The common bile duct is normal caliber.

Examination of the rest of the abdomen revealed the source of her fever (see Case)

CONCLUSION

 Multiple small gallstones without evidence of cholecystitis.

SUBMITTED BY

Adrian Goudie


Gallbladder long

Gallbladder long

Multiple echogenic masses with shadowing are seen
Gallbladder long Gallbladder trans Common Bile Duct