Gallbladder adenocarcinoma with hepatic metastases

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Right upper quadrant pain.

Patient Data

Age: 40 years
Gender: Female

Multiple gallstones of various size with irregular thickened enhanced wall. A large heterogeneously enhancing mass (78 x 66 x 58 cm) with restricted diffusion centered on the gallbladder fossa, extending to the segments 4 and 5 of the liver. 

The liver is moderately enlarged (18 cm) with at least two metastatic lesions in the segments, 2 (16 x 10 mm) and 5/6 (40 x 30 mm).

Case Discussion

The MRI features are most consistent with gallbladder cancer with hepatic metastases (biopsy-proven: adenocarcinoma).

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