0:00

All right, so here's our first case, and this is

0:03

a right upper quadrant ultrasound, and we're going

0:05

to take a look at the gallbladder labeled below.

0:07

We can see that this is going to be

0:08

a sagittal sweep of the gallbladder.

0:10

Already we're at the level of the gallbladder

0:12

fundus, and we can see that there is a bit of wall

0:14

thickening here comparatively to our other studies.

0:17

Intraluminally, you can see some

0:19

echogenic debris consistent with sludge.

0:21

And at the gallbladder neck, we

0:22

see an echogenic structure already

0:24

demonstrating dense posterior shadowing.

0:26

So that is.

0:28

An impacted stone within the gallbladder neck.

0:32

As we come across here on the antidependent portion,

0:34

we can see that there's gallbladder wall thickening.

0:37

Let's look at the transverse view, as the transverse

0:40

view of the gallbladder will now demonstrate

0:42

that all of the fat around the gallbladder

0:44

is very echogenic, meaning it's really bright

0:46

comparatively to normal intra-abdominal fat,

0:48

and that's that fluid that accumulates in the

0:50

fat adjacent to a swollen and angry organ.

0:53

We can even see a trace amount of absolute

0:55

free fluid as well, and the gallbladder wall

0:58

thickening is beautifully

0:59

demonstrated on this transverse image.

1:01

Somewhat asymmetrically thickened

1:03

to the, uh, hepatic surface.

1:05

Another finding that we frequently

1:06

see with acute cholecystitis.

1:09

Oh, look at that beautiful stone obstructing, causing

1:12

problems in the worst real estate location as possible.

1:15

Echogenic and densely posteriorly shadowing.

Case: Acute Cholecystitis on Ultrasound

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