Presentation
Generalized abdominal pain and distension
From the case:
Multiple gallstones
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Multiple small radio-opaque structures forming the shape of the gallbladder at its expected anatomical location, in keeping with gallstones.
From the case:
Multiple gallstones
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Multiple gallstones.
Case Discussion
Multiple small calcified gallstones on the plain film as confirmed on a previous CT. These small gallstones are also known as biliary microlithiasis and have a higher risk for migration to the extrahepatic bile ducts and cause pancreatitis.