Multiple biliary calculi:

cystic duct calculus<<Calculus in the cystic duct

ultrasound image dilated CBD with calculus<<calculus in CBD

ultrasound image cholecystitis<<multiple GB calculi

  The above ultrasound images reveal multiple biliary calculi in the gall bladder, common bile duct, and the cystic duct. In addition, the gall bladder wall appears thickened and edematous s/o cholecystitis. The patient was a young lad who complained of pain in the abdomen. Images courtesy of Dr. Vikas Arora, Ferozepur, India.

Watch an ultrasound video of live roundworms in the gall bladder:

It is not often that one sees live roundworms in the unlikeliest of places, as this ultrasound video of live roundworms (ascaris lumbricoides), "playing" in the distended gall bladder, reveals.

Click this link to watch this amazing video:

http://drjoea.googlepages.com/ultrasoundgalleryroundworms.MPG 

Video courtesy of Dr. Suresh Mohan, Tamil Nadu, India.

 (Important announcement: we are now shifting the gallery to a new site at:

http://www.ultrasound-images.com 

Here too you will find the same quality of high resolution ultrasound images as on this site. This (older) site will still be available).

 

Gall bladder carcinoma with portal vein and biliary tree infiltration:

The above images show a mass developing at the neck of the gall bladder with infiltration of the portal vein and the intrahepatic biliary radicles (IHBR). The intrahepatic biliary tree appears dilated with the IHBR converging on the mass. In addition, there is also a gall bladder calculus. Findings suggest carcinoma of the gall bladder.

Case and images courtesy of Dr. Vikas Arora, Ferozepur, India.

Reference:

1) Gallbladder cancer: can ultrasonography evaluate extent of disease? - group of 6 »
2) Carcinoma of the Gallbladder: Role of Sonography in Diagnosis and Staging
2b) Carcinoma of the gallbladder: Role of sonography in diagnosis and staging

2c) Carcinoma of the gallbladder: role of sonography in diagnosis and staging.

A case of gall bladder ascariasis:

Images courtesy of Dr. Vikas Arora, Ferozepur, India.

 The above ultrasound images show show the distended gall bladder with a linear, echogenic lesion without an acoustic shadow. In this case, the worm did not show spontaneous movements. Thus it was concluded that it was a dead worm (ascaris lumbricoides). It appeared to shift position with change in the patient's posture.

Reference:

Gall bladder ascariasis 

For more such ultrasound images of the gall bladder and its lesions visit:

http://www.ultrasound-images.com/gall-bladder.htm

 

Like to download a useful e-book (Microsoft power point slide presentation) about the "Appendix and its diseases"? You'll find more than 25 high resolution ultrasound images, nicely labelled and with captions. A brief description of each pathology is also present. The cost.. a mere $ 5.0

To download via our secure site click here:
 Sonographic atlas of appendix

You can also download version 2.0 of the Sonographic Atlas of the Appendix. This is priced at $ 7.0 and is available in Adobe acrobat form (.PDF file).  All you need is Adobe Reader to view this file. Version 2.0 has more than 40 high res images of the appendix.