Presentation
Right upper quadrant pain.
Patient Data
Distended gallbladder containing two stones with sludge forming fluid-fluid level. Large lobulated soft tissue mass involving the neck and body of the gallbladder of low signal on T1, intermediate signal on T2 and FIESTA with restricted diffusion and heterogeneous enhancement on postcontrast sequences. No apparent extension to the adjacent segments of the liver (segments 4 and 5). The tumor is in contact with the duodenal wall with no fatty interface (probably invaded).
Periportal lymphadenopathy with central necrosis and restricted diffusion.
Case Discussion
MRI features of gallbladder cancer with nodal involvement (patholgically proven as adenocarcinoma).
Gallbladder adenocarcinoma is the most common primary biliary carcinoma. Predominantly affects older persons with long-standing cholecystolithiasis, and as such is most common in elderly women (>60 years of age),
Unable to process the form. Check for errors and try again.