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Portal venous phase CT images show a connection between the gallbladder and the proximal duodenum, in the lumen of which there are some ectopic gallstones (maximum diameter of 2 cm); there is also pneumobilia in the left hepatic lobe and gas into the gallbladder lumen.
The gallbladder is contracted and inflamed with thickening and hyperenhancement of the wall.
There are no signs of gastric obstruction (patient with nasogastric tube). Centimetric lymph nodes int the hepatic hilum and near the gallbladder.