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Abdomen » Liver & Biliary System
Cholesterolosis of the gallbladder
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Author(s) :
Chaitali Shah, FRCR
 
Presentation A middle-aged woman presents with vague dull pain in the right upper quadrant. An ultrasound was performed.
 
 
 
Caption: Sagittal image of the gall-bladder
Description: The gallbladder is partially contracted. The gallbladder shows the presence of multiple tiny echogenic foci within or attached to the wall. These foci show typical ‘ring-down’ artifacts.
 
 
 
Caption: Transverse image of the gall bladder
Description: The echogenic foci attached to the gall bladder wall are demonstrated again here and show the classic ‘ring-down’ artifacts that are typical of cholesterol crystals. Also seen are small gallstones layering dependently with associated distal acoustic shadowing.
 
 
 
Caption: Magnified image of the transverse view of the gall bladder
Description: The layering echogenic calculi produce posterior acoustic shadowing, as marked. Also noted are foci of cholesterol crystals that show the ‘ring down’ artifact.
 
Differential Diagnosis Cholesterolosis and gall-bladder calculi
 
Final Diagnosis Cholesterolosis and gall-bladder calculi
 
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