Sunday, July 19, 2009

Gentleman with multiple stones in gallbladder, cystic duct and common duct

74 years old patient came for upper abdomen scanning. About 1 week ago she complains of pain at right hypochondria. She has diabetes and under medication for more than 20 years. No HPT detected. Detected high cholesterol during the blood test. Hysterectomy done for more than 20 years.
Ultrasound showed an echogenic and mobile structure noted in the gallbladder. No vascularity noted with assessed with colour Doppler. The measurements are 0.86cm x 0.52cm x 1.05cm. In addition, there is one cystic duct stone and one bile duct stone detected. The stones appear echogenic with posterior shadowing. Cystic duct stone measurments are 0.93cm x 0.94cm x 0.93cm. Bile duct stone measurements is 0.9cm. The GB wall thickness fall within normal range with measurement of 0.20cm. Bile duct is seen dilatated and measured 0.78cm.

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