Gallbladder sludge

Case contributed by Bruno Di Muzio
Diagnosis almost certain

Presentation

Day 30 post-transplant for follicular lymphoma.

Patient Data

Age: 55 years
Gender: Male

Abdo US

ultrasound

The gallbladder is not abnormally distended, has a smooth thin wall, and demonstrates heterogeneous echogenic contents without internal vascularity which are compressible. Some mobile debris is noted within the contents. 

Case Discussion

This case illustrates inspissated/precipitated bile solute in the gallbladder that does not have the classic appearance of echoes layering on the posterior wall. 

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