Diagnostic Ultrasound - Abdomen and Pelvis

Acute Acalculous Cholecystitis
(Left) Longitudinal oblique
ultrasound of acute acalculous
cholecystis with gangrene in a
lung transplant recipient
shows gallbladder distension
with viscous sludge. The wall
is thick and discontinuous ſt.
(Right) Longitudinal oblique
ultrasound of the same
patient shows hyperemia
around the gallbladder ſt
with no color flow in the
necrotic wall.
Diagnoses: Biliary System
(Left) Axial CECT of acute
acalculous cholecystitis shows
a distended, thick-walled
gallbladder ſt with fluid and
inflammation in the
pericholecystic fat st. Note
the poor enhancement of the
fundal wall . (Right)
Transverse ultrasound of
acalculous cholecystitis shows
sludge , wall thickening st,
and percutaneous
cholecystostomy tube ſt.
Pericholecystic fluid is
noted.
(Left) Transverse ultrasound of
acute emphysematous
cholecystitis with perforation
shows that the gallbladder
wall st is disrupted with loss
of echogenic mucosal line.
There is gas in the lumen ſt
and a pericholecystic
collection . (Right) Axial
CECT of the same patient
shows acute emphysematous
cholecystitis with perforation.
The gallbladder wall st is
focally disrupted. There is gas
in the lumen ſt and a
pericholecystic collection
containing gas .
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