Obstructive jaundice, rith upper cuadrant pain, weight loss
CT Abdomen and Pelvis
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CT shows hepatomegaly with multiple secondary hypodense lesions, there is a infiltrative tumor mass surrounding the gallbladder, in which there is a gallstone. Dilated intrahepatic biliary radicals. Pancreas, adrenals and spleen densitometric looking normal. Tumoral lymphadenopathy peri-pancreatic and intercavoaortic.
This case demonstrates a gallbladder cancer with liver and retroperitoneal lymphnodes spread, producing dilated intrahepatic bile duct.