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Empyema Gallbladder || Ultrasound || Case 322
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Clinical Features:
A 42-year-old male came with
- Severe right upper abdominal pain
- Vomiting
- Positive Murphy’s sign
Ultrasound Features:
- Distended gallbladder with thickened & edematous wall with peri-cholecystic mild collection.
- Gallbladder lumen shows hypoechoic sludge. Within the sludge, tiny echogenic structures are also seen without posterior acoustic shadow. Rest of the lumen contains low-level echoes showing acoustic streaming.
- Mild hepatosplenomegaly.
Remember:
Acoustic streaming can help differentiate pus from sludge in empyema.
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