Diagnostic Ultrasound - Abdomen and Pelvis

Gallbladder Carcinoma
(Left) Sagittal US in a 67-yearold
woman with acute
pancreatitis shows large
polypoid mass in the GB
fundus with internal
vascularity. (Used with
permission from the AIRP
archives, Case ID # 6379.)
(Right) Subsequent MR shows
lobulated intraluminal
polypoid mass that is
heterogeneously hyperintense
to adjacent liver. Note the
angulated stone st in the GB
neck and edematous pancreas
associated with acute
interstitial edematous
pancreatitis . (Used with
permission from the AIRP.)
Diagnoses: Biliary System
(Left) Sagittal US of the GB in
a 37-year-old woman who
presented with acute RUQ
pain shows shadowing
gallstones and sludge ſt with
a mass-like lobulated region of
wall thickening, with
transmural extension st.
(Used with permission from
the AIRP archives, Case ID #
6379.) (Right) Sagittal CECT
MPR in a similar plane shows
the polypoid mass ſt
enhances and arises from the
GB wall. (Used with permission
from the AIRP archives, Case
ID # 6379.)
(Left) Dynamic post-Gd MR in
the coronal plane shows
delayed progressive
enhancement in the lobulated
polypoid mass ſt, with
disruption of the enhancing
wall . (Used with permission
from the AIRP archives, Case
ID # 6379.) (Right) MRCP in
the same patient shows stones
in the neck and body of the GB
ſt, with the lobulated
polypoid mass protruding into
the lumen . (Used with
permission from the AIRP
archives, Case ID # 6379.)
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