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Clinical Features:

A 70-year-old male patient came with right upper abdominal pain.


Ultrasound Features:

Generalized gallbladder wall thickening with multiple areas showing intramural hyperechoic foci and comet tail artifacts.


Remember:

- The high frequency ultrasound may help better visualization of comet tail artifacts & wall thickening.
- Search for mass lesion & calculus.


Ultrasound Diagnosis:

Chronic cholecystitis with adenomyomatosis of gallbladder.


Ultrasound Images:







Generalized gallbladder wall thickening with multiple areas showing intramural hyperechoic foci and comet tail artifacts.


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