Presentation
Abdominal pain and jaundice.
Patient Data
An 85 x 80 mm ill-defined heterogeneously enhancing mass infiltrating the right liver lobe and gallbladder wall and extending to the porta hepatis. Percutaneous drainage catheter in the central bile ducts in appropriate station and intrahepatic bile ducts are not dilated. Several lymphadenopathies are noted at porta hepatis and a few of them show central necrosis.
Degenerative changes as osteophytosis are seen at the lumbar spine.
Grade I spondylolisthesis of L4 over L5 is present with bilateral spondylolysis.
Case Discussion
Pathology proven gallbladder adenocarcinoma with hepatic invasion and porta hepatis lymphadenopathy.
On imaging, gallbladder cancer can present as a focal intraluminal mass, focal or diffuse gallbladder wall irregular thickening, or large mass lesion replacing the entire gallbladder.