Right upper quadrant discomfort. No prior surgery. Cholecystitis?
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6 cm ill defined heterogeneous mass centered on the gallbladder fossa.
The gallbladder is not separately identified.
Prominence of the common hepatic duct. No intrahepatic duct dilatation.
No lymphadenopathy at the porta hepatitis.
1 cm peritoneal nodule anteriorly in the midline.
Simple renal cysts.
Large left inguinal hernia.
This patient had no prior history of hepatobiliary surgery.
On the CT, the gallbladder is not separately identified with the mass centered on the gallbladder fossa making gallbladder carcinoma a strong possibility.
Ultrasound guided biopsy was undertaken - the diagnosis was gallbladder adenocarcinoma.