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Abdomen » Liver & Biliary System
Gallbladder Polyp
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Author(s) :
Rafay Ahmed, MD  |  Ross Wank, MD
Presentation 52 year old male with sharp right upper quadrant abdominal pain. No history of similar kind of pain, no nausea, vomiting or fever. No history of gallstones. On Physical exam, abdomen is soft with tenderness in RUQ. There is no rebound tenderness or guarding.
Caption: Transverse View of Liver.
Description: The Liver is normal in size, echogenicity, and echotexture.
Caption: Transverse View of Gallbladder.
Description: Gall bladder wall is of normal thickness, measuring 3mm.
Caption: Longitudinal View of Gallbladder
Description: There is a frond like echogenic solid mass within the gallbladder measuring 2.8 x 0.9 x 1.0 cm.
Caption: Longitudinal View of Gallbladder with Color Doppler.
Description: Color Doppler demonstrates flow within the mass.
Caption: Longitudinal View of Gallbladder with Pulse Doppler.
Description: Pulse Doppler confirms both arterial and venous flow within the mass.
Differential Diagnosis Gallbladder Polyp
Gallbladder Carcinoma
Tumefactive Sludge
Focal Adenomyomatosis
Follow Up The Ultrasound findings were concerning for malignancy, so a CT was recommended.
CT described the mass as a polyp.  The patient refused further evaluation.
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