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LIC. RAMÓN FRANCISCO
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Vesicula Biliar
CBD with calipers
CBD with calipers
CBD measured in transverse (PV = portal vein)
Portal triad with colorflow
Colorflow applied to portal triad (portal vein and hepatic artery with flow, CBD absent flow)
Portal triad
Classic "Mickey Mouse" appearance to the portal triad
CBD
CBD in longitudinal, running anterior to the portal vein
CBD
CBD in longitudinal, running anterior to the portal vein (PV)
Portal triad
Classic "Mickey Mouse" appearance to the portal triad (PV = portal vein, arrowhead = CBD, arrow = hepatic artery)
Large CBD
Large CBD with adjacent GB, portal vein, and hepatic artery
Large CBD
Asterix = CBD, PV = portal vein, arrowhead = hepatic artery, GB = gallbladder
Large CBD with adjacent cholelithiasis
Color flow applied to portal triad, notable for dilated CBD (asterix) and adjacent transverse gallbladder with stone
Large CBD with adjacent cholelithiasis
Portal triad (PV = portal vein, arrow = hepatic artery) with dilated CBD (asterix); gallstones
CBD stone
Oblique/longitudinal view of the CBD with an embedded stone
CBD stone
CBD with stone (arrowheads), adjacent liver and portal vein (PV)
Choledocholithiasis and gallstones
Dilated CBD with stones, adjacent gallbaldder with stones
Choledocholithiasis and gallstones
Arrow = gallstones, arrowhead = CBD stones
Cholecystitis
Cholecystitis with calipers marking thickened gallbladder wall
Gallbladder fake-out
Duodenum mimics the gallbladder, with adjacent liver
Gallbladder fake-out
Duodenum (arrowheads) with adjacent liver
Stone in neck
Stone (arrowhead) in the neck of the gallbladder, resultant shadowing (arrows)
Sludge and stone
Large stone adjacent to sludge
Sludge and stone
Large stone (S), sludge (arrowheads)
Sludge lava-lamp
Floating sludge resembles a lava-lamp
Sludge lava-lamp
Sludge (arrowhead)
Sludge and stones
Stones mixed in gallbladder sludge
Sludge and stones
Sludge (arrowheads) and stones (arrow)
Stone in neck
Stone lodged in the neck of the gallbladder
Stone in neck
Stone (arrowheads), shadowing (arrows)
Normal transverse gallbladder
Transverse view of a normal gallbladder
Normal transverse gallbladder
L = liver, GB = gallbladder, calipers measuring the wall
Normal gallbladder with calipers
Gallbladder transverse high, with calipers to measure wall
Normal gallbladder with calipers
Gallbladder transverse high, with calipers to measure wall
Normal gallbladder with calipers
Gallbladder transverse low, with calipers to measure wall
Normal gallbladder with calipers
Gallbladder transverse mid, with calipers to measure wall
Normal gallbladder with calipers
Gallbladder transverse mid, with calipers to measure wall
Gallbladder and bowel
Longitudinal view of the gallbladder adjacent to a loop of bowel
Gallbladder and bowel
Gallbladder (GB) and bowel (asterix)
Gravel
Gallbladder full of tiny stones (gravel)
Gravel
Gravel (arrowheads) with shadowing (arrows)
2 gallstones
Gallbladder with two large gallstones
2 gallstones
Gallstones (arrowheads)
Gallstones
Longitudinal view of the gallbladder, full of stones
Normal gallbladder
Normal longitudinal view of the gallbladder
Normal gallbladder
Gallbladder = GB, portal vein = PV, with adjacent liver
Polyp
Gallbladder polyp
Polyp
Gallbladder polyp (arrowheads), with characteristic ABSENCE of shadowing
Sludge and wall edema
Sludge and wall edema in patient with presentation concerning for cholecystitis
Sludge and wall edema
Sludge = arrow, gallbladder wall edema = arrowheads
Sludge and stone
Stone surrounded by sludge
Sludge and stone
Sludge (arrowheads), stone (arrow)
Sludge and stones
Gallbladder full of sludge and stones
Sludge and stones
Sludge and stones (arrowhead)
String of pearls
Gallstones appearing as a string of pearls
String of pearls
Gallstones (arrowhead) as a string of pearls
Thickened gallbladder with fluid
Gallbladder wall thickening with some pericholecystic fluid
Thickened gallbladder with fluid
Thickened wall (arrows), pericholecystic fluid (arrowhead)
Postprandial
Postprandial gallbladder wall thickening (calipers)
Pericholecystic fluid
Gallbladder with pericholecystic fluid
Pericholecystic fluid
Pericholecystic fluid (arrow)
Intra-hepatic cholestasis
Example of biliary dilation in patient with intra-hepatic cholestasis
Intra-hepatic cholestasis
Example of biliary dilation in patient with intra-hepatic cholestasis
Intra-hepatic cholestasis
Train track appearance (arrowheads) to biliary dilation
Intra-hepatic cholestasis
P = portal vessel, arrowheads = biliary dilation
Normal liver
Transverse view of a normal liver
Normal liver
Transverse view of a normal liver
Normal liver
IVC = inferior vena cava, arrowheads = hepatic veins
Normal liver
V = vertebral body, IVC = inferior vena cava, arrowheads = portal vessels
Bowel in the right upper quadrant
Gallbladder mimic, bowel in the right upper quadrant
Bowel in the right upper quadrant
L = liver, asterix = bowel
Seagull sign
Celiac trunk noted on transverse view of the aorta
Seagull sign
Aorta = Ao, Celiac trunk = arrowheads (seagull sign)
WES sign
Wall echo shadow sign, describing contracted gallbladder around stones
WES sign
Stones = arrowheads, shadowing = arrows
WES sign
Wall echo shadow sign, describing contracted gallbladder around stones
WES sign
Stones (arrowheads) producing shadowing, in contracted gallbladder
WES sign
Wall echo shadow, stones (arrowheads) with "clean" shadowing (A), bowel (arrow) with "dirty" shadowing (B)
Cholecystitis
Cholecystitis in patient with distended gallbladder and stones (arrowheads)
Cholecystitis
Cholecystitis with stones and edematous gallbladder wall
Cholecystitis
Arrows = thickened/edematous gallbladder wall, arrowheads = gallstones in neck
Cholecystitis
Transverse gallbladder with thick wall (arrow), sludge (arrowheads) in patient with cholecystitis
Cholecystitis
Cholecystitis with marked wall edema and stones (arrowhead)
Cholecystitis
Cholecystitis with wall edema (caliper) and stone (arrowhead)
Cholecystitis
Cholecystitis with wall edema (arrowheads) and multiple stones (arrow)
Edge artifact
Edge of the gallbladder produces shadowing artifact, with adjacent "dirty" shadowing from bowel gas
Hemangioma
Liver hemangioma with characteristic hyperechoic appearance
Hemangioma
Liver hemangioma with characteristic hyperechoic appearance
Hemangioma
Hemangioma (arrowheads)
Hemangioma
Hemangioma (arrowheads)
Liver metastasis
Liver mass (metastasis) with adjacent gallbladder
Liver metastasis
Liver mass (arrowheads)
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Filename
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