Presentation
Right upper quadrant pain with tenderness and fever.
Patient Data
Age: 55 years
Gender: Female
From the case:
Gallbladder empyema
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Distended gallbladder with diffusely thickened and enhanced wall, and high-attenuating content (echogenic on ultrasound, not shown) with perivesicular fat stranding. Impacted gallstone (18 mm) in the gallbladder neck with no compression of the common hepatic duct (CHD) or dilatation of the IHBD. Normal CBD.
A small simple left renal cyst is noted.
Case Discussion
The clinical presentation and CT features are most consistent with a gallbladder empyema that was confirmed by percutaneous drainage.