Caption: Transverse scan of the RUQ.
Description: The gallbladder is distended and filled with sludge. An irregular serpingineous echogenic structure is seen alongside one of the walls. Also noted are multiple tiny echogenic foci alongside the opposite wall, suggestive of calculi.
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Caption: Sagittal scan of the gallbladder.
Description: The distended gallbladder is seen, showing the echogenic septa alongside both walls extending into the lumen. These septa either represent the sloughed mucosal lining-a sequel to the patient’s episode of acute cholecystitis one week prior or adherent sludge.
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Caption: Magnified view of the gallbladder lumen.
Description: The distended gallbladder, luminal sludge and the irregular echogenic lining on the near wall are depicted much more clearly in this image.
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Caption: Color Doppler image of the gallbladder.
Description: No increased vascularity is noted within the gallbladder wall.
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