Gallbladder sludge

Case contributed by Chris O'Donnell
Diagnosis certain

Presentation

Painless right upper quadrant mass ?enlarged liver.

Patient Data

Age: 75 years
Gender: Male
ultrasound

Distended gall bladder containing echogenic, gravity dependent, mobile, biliary sludge with calculi. No specific features of cholecystitis ie no wall thickening or surrounding edema (nor pain on ultrasound probing of the fundus).

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