File:Acute cholecystitis (Radiopaedia 29814-30327 Coronal C+ portal venous phase 29).jpg

Summary:

• Radiopaedia case ID: 29814
• Image ID: 7438597
• Image stack position: 29/51
• Plane projection: Coronal
• Aux modality: C+ portal venous phase
• Modality: CT
• System: Hepatobiliary
• Findings: The gallbladder is abnormal with thickening of the wall and pericholecystic stranding. Within the neck of the gallbladder there is a hyperdense rounded structure measuring 10 mm, likely a stone impacted within the neck of the gallbladder. There is a small amount of free intraperitoneal fluid around the right paracolic gutter extending down into the pelvis. There is dilation of the large bowel with the bowel measuring up to 6.5 cm. This is presumed secondary to an ileus. The small bowel has a normal appearance. Within the tail of the pancreas there is a rounded 1 cm enhancing lesion which is isodense to spleen. However, the lesion appears to involve more of the tail of the pancreas rather than the hilum of the spleen. Although this may represent a splenunculus, a lesion within the tail of the pancreas cannot be excluded. Conclusion:
• Published: 26th Jun 2014
• Source: https://radiopaedia.org/cases/acute-cholecystitis-13
• Author: RMH Core Conditions
• Permission: http://creativecommons.org/licenses/by-nc-sa/3.0/

Licensing:

Attribution-NonCommercial-ShareAlike 3.0 Unported (CC BY-NC-SA 3.0)