#pocus #ultrasound #gallbladder #cholelithiasis #fattyliver #dbm #hepaticsteatosis #sonography #clinicalskills #incidentalfindings | Daniel Ben-Mordechay
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The gallbladder lumen contains multiple internal echogenic foci. These echogenic foci appear non-dependent and are clustered, giving a speckled appearance. There is no clear posterior acoustic shadowing, which makes typical gallstones less likely. The gallbladder wall appears mildly thickened. The lumen does not appear completely anechoic; instead, it shows internal echoes Conclusion Gallbladder sludge with possible microlithiasis / biliary sludge balls, in the background of chronic cholecystiti
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The clip shows echogenic, multiple calculi seen in right lobe of liver and produces clear shadow. The calcification appears to be intrabiliary, either pass from gallbladder or biliary infections e.g. recurrent Pyogenic Cholangitis or associated with cholangiocarcinoma in 3-10% [1]. Thanks to VLucid platform G65 and single crystal probe [S2-9C], the clip shows an excellent near field resolution of liver capsule, uniformity over the entire liver showing portal vein, common bile duct, hepatic vein,
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