Ultrasound Imaging of Gallbladder Sludge Mimicking a Mass with Concurrent Cholelithiasis

Case Presentation:

A 45-year-old female presented with right upper quadrant abdominal pain. Ultrasound examination revealed a heterogeneous hyperechoic lesion in the gallbladder, initially suspected to be a mass. Further evaluation revealed the presence of sludge and a gallbladder calculus.

Discussion:

Gallbladder sludge can mimic a mass on ultrasound imaging, leading to potential misdiagnosis. The presence of a concurrent gallstone in this case further complicated the diagnosis. However, careful evaluation of the lesion's morphology and movement on ultrasound helped confirm the diagnosis of sludge and a gallbladder calculus.

No vascularity was present in the lesion. 

Conclusion:

This case highlights the importance of careful evaluation of gallbladder pathology on ultrasound imaging to avoid potential misdiagnosis. The presence of sludge and gallstones can mimic more sinister pathology, emphasizing the need for a thorough and experienced evaluation.