Abdominal pain and dyspepsia. The patient had history of liver cirrhosis.
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Diffuse thickening of the gall bladder more appreciated at the fundus and extends to the cystic duct with ill definition of its outline, smudging of the surrounding fat and few small hypodense non enhancing hepatic focal lesions adjacent to GB fossa. There is mildly dilated CBD (9 mm) yet no GB or CBD stones. Liver cirrhosis and portal hypertension.
The patient underwent operative cholecystectomy and partial hepatectomy and the histopathology revealed gallbladder adenocarcinoma.