Diagnostic Ultrasound - Abdomen and Pelvis

Cholelithiasis
(Left) Longitudinal supine
ultrasound shows a cluster of
stones in the gallbladder
neck with acoustic shadowing
ſt. There was also sludge but
no cholecystitis. (Right) Left
lateral decubitus ultrasound
shows multiple floating
gallbladder stones, which
moved with repositioning.
Reverberation artifact is noted
.
Diagnoses: Biliary System
(Left) Transverse ultrasound
shows a cluster of small
shadowing gallstones in
the gallbladder. Mild wall
thickening st and
pericholecystic ſt fluid were
secondary to pancreatitis.
(Right) Left lateral decubitus
ultrasound shows a layer of
small, nonshadowing mobile
gallstones . The gallbladder
wall was normal.
(Left) Transverse ultrasound
shows a gall stone filling the
gallbladder. Note the wall ſt,
echo , and shadow st,
which together form the WES
sign. (Right) Longitudinal
oblique ultrasound of acute
calculous cholecystitis shows
an impacted stone in the
neck with an edematous, thick
wall st. The Murphy sign was
positive.
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