PMC4446664_01
Left to right: MRCP and ultrasound imaging from Mr. GW. #1 and #2: MRCP showing thickened gallbladder wall, lack of wall enhancement and septated surface with diffuse inflammation. #3: Ultrasound showing thickened wall, maximally dilated at 1.2 cm with multiple septations.
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Subsequent magnetic resonance cholangiopancreatography (MRCP) showed a distended heterogeneous gallbladder with thickened trabeculated wall, with findings suggestive of gangrenous gallbladder (Fig. 1).
PMC4446664_02
From left to right: Mr. PH, CT and ultrasound findings. #1 and #2: CT showing a distended gallbladder wall with decreased contrast enhancement of the wall and pericholecystic fluid. #3: Ultrasound showing normal mild gallbladder wall thickening with irregular appearance of the gallbladder.
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Due to questionable ultrasound findings, computer tomography (CT) of the abdomen was preformed which showed mild gallbladder distension, gallstones and pericholecystic fluid suggestive of acute cholecystitis (Fig. 2).