Diagnostic Ultrasound - Abdomen and Pelvis

Diffuse Gallbladder Wall Thickening
Hepatic Cirrhosis
AIDS-Related Cholangiopathy
(Left) Longitudinal oblique
ultrasound through the liver
and gallbladder shows a
nodular cirrhotic liver ſt
surrounded by ascites. The
gallbladder wall is mildly
uniformly thickened. There
were no stones. (Right)
Longitudinal oblique
ultrasound in a patient with
HIV/AIDS shows a thick-walled
gallbladder with no
gallstones. There are linear
strands in the edematous wall
ſt compatible with striated
edema.
Differential Diagnoses: Biliary System
Gallbladder Carcinoma
Gallbladder Carcinoma
(Left) Transverse ultrasound of
gallbladder carcinoma shows
a shadowing stone with
sludge . The gallbladder
wall was thick and indistinct
with loss of echogenicity at
its interface with the liver.
(Right) Axial NECT of the same
patient shows a gallstone .
The gallbladder wall is thick
and hypodense, with
infiltration of the adjacent
liver .
Gallbladder Varices
Gallbladder Varices
(Left) Transverse ultrasound in
a patient with cavernous
transformation of the main
portal vein secondary to
pancreatitis shows small cystic
spaces in the wall at the
gallbladder neck and body ſt.
(Right) Transverse color
Doppler ultrasound in the
same patient shows multiple
collateral veins ſt in the
gallbladder wall and around
the porta hepatis.
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