Acute gangrenous cholecystitis
Right upper quadrant pain and peritonism
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The gallbladder is distended and contains some high-density material. The wall is of variable intensity with patchy enhancement. There is pericholecystic fluid and inflammatory change with peritoneal and retroperitoneal fluid, and a right-sided pleural effusion. There are a couple of gallstones, but nothing obstructive in the CBD or head of the pancreas.
The concern here is for gangrenous cholecystitis because of the patchy enhancement of the gallbladder wall.
Gangrenous cholecystitis was confirmed operatively.