Clinical Features:
A 50 years old male patient came with
- Severe right upper abdominal pain.
- Vomiting.
Ultrasound Features:
- Dilated common bile duct.
- A bright echogenic structure casting acoustic shadow is noted within the distal common bile duct lumen.
- Biliary sludge.
Remember:
Other imaging correlation is always safe to exclude distal common bile duct growth when we get a bile duct calculus.
Ultrasound Images:
Fig: Section of gallbladder showing luminal sludge
Fig: Section of gallbladder showing luminal sludge
Fig: Dilated common bile duct (CBD) with distal luminal echogenic calculus
