Adenomyomatosis of the gallbladder - MRCP
Incidental finding, in context of upper abdominal pain with repeatedly elevated pancreatic enzymes
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Thick-slice projectional MRCP showing multiple fluid-filled, enlarged Rokitansky-Aschhoff sinuses in the fundus of the gallbladder.
Typical finding of fundal adenomyomatosis of the gallbladder, with intramural enlargement of the Rokitansky-Aschhoff sinuses, similar to diverticula. This has been termed the pearl necklace sign.