File:Ascending cholangitis (Radiopaedia 39068-41253 Axial non-contrast 18).png

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Description	Radiopaedia case ID: 39068 Image ID: 15291056 Image stack position: 18/77 Plane projection: Axial Aux modality: non-contrast Modality: CT System: Hepatobiliary Findings: Partly calcified gallstone at the neck of the gallbladder. No pericholecystic fluid or fat stranding. Gallbladder wall is difficult to appreciate but may be mildly thickened. High density within a grossly dilated common bile duct is highly suspicious for choledocholithiasis. Gas is present within the liver within portal vein branches and there is a small locule of gas within the superior mesenteric vein with more substantial volume of gas within tributaries from the mid to distal stomach. Bowel resection noted with rectosigmoid anastomotic sutures. 3 cm right basal pulmonary mass. In the pelvis, there are loops of small bowel with fecal material mimicking mural gas - note no mural thickening, adjacent fat stranding or free fluid.
Date	Published: 18th Aug 2015
Source	https://radiopaedia.org/cases/ascending-cholangitis
Author	Henry Knipe
Permission (Permission-reusing-text)	http://creativecommons.org/licenses/by-nc-sa/3.0/

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