Case 106: Cholelithiasis | Soft Calculus Mimicking Mass || Ultrasound

       

Clinical Features:

A 35-year-old male patient came with right upper abdominal pain.


Ultrasound Features:

A bright echogenic structure without casting posterior acoustic shadow but moving along the posture changing is noted within the gallbladder lumen.


Remember:

The neck of the gallbladder is well visualized putting the probe longitudinally at the right subcostal region or at the right lower intercostal spaces with a sound beam directed towards the gallbladder.  


Ultrasound Diagnosis:

- Soft calculus in the gallbladder.


Ultrasound Images:




A bright echogenic structure without casting posterior acoustic shadow within the gallbladder lumen


On high-frequency ultrasound, movement of the stone with postue changing is well visualized



Reconstructed 3D image of the gallbladder calculus


YouTube Link:

For further demonstration, don't forget to check our video:

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