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American Journal of Roentgenology, Vol 132, Issue 6, 967-972
Copyright © 1979 by American Roentgen Ray Society

Articles

Significance of low level echoes within the gallbladder

MR Conrad, JO Janes, and J Dietchy

Thick bile may appear as a nonshadowing, dependent, echogenic layer within the gallbladder. In vivo sonographic imaging of the canine gallbladder showed that highly viscous, desiccated bile appeared echogenic and could potentially prevent imaging an enlarged gallbladder or dilated bile ducts. Selected clinical cases demonstrated that multiple nonshadowing calculi, pus, cholesterol crystals, and possibly abnormal mucous in the gallbladder may be sonographically indistinguishable from thick bile.
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C. W. Ko, J. H. Sekijima, and S. P. Lee
Biliary Sludge
Ann Intern Med, February 16, 1999; 130(4_Part_1): 301 - 311.
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