Fig. 1: Transverse ultrasound image of the gallbladder in a 79-year-old afebrile woman with RUQ pain. There is diffuse gallbladder wall thickening (6 mm) and a hyperechoic material (arrow) in the gallbladder lumen. The gallbladder is distended.
Fig. 2: Longitudinal US image shows acoustic shadowing casted from hyperechoic material, representing a gallstone.
Differential Diagnosis of Thickened Gallbladder Wall
- Gallbladder disease - cholecystitis (acute or chronic)
- Liver disease - hepatitis, cirrhosis
- Diffuse disease - hypoalbuminemia, heart failure, renal failure
Chapman S and Nakielny R. Aid to radiological differential diagnosis. 4th ed.