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Hello, My RUQ Ultrasound Impession: Cholelithiasis With Borderline Gallbladder Wall
Question: Hello,
My RUQ ultrasound impession:Cholelithiasis with borderline gallbladder wall thickening that could represent acute or chronic cholecystitis. No other right quadrant abnormality seen. I read that and irregular bladder wall would raise suspicion for gall bladder cancer. My grandma died from gall bladder cancer. Would "wall thickening" be more concerning and equal "irregular" or is it generally present with gallstones? Prostrate mri with contrast showed "probable gallstones". What is my risk of cancer with this info? I'm not symptomatic. Jan2018 ct w/wo contrast of pelvis (gall bladder) was negative. Thanks very much! XXXXXXX
My RUQ ultrasound impession:Cholelithiasis with borderline gallbladder wall thickening that could represent acute or chronic cholecystitis. No other right quadrant abnormality seen. I read that and irregular bladder wall would raise suspicion for gall bladder cancer. My grandma died from gall bladder cancer. Would "wall thickening" be more concerning and equal "irregular" or is it generally present with gallstones? Prostrate mri with contrast showed "probable gallstones". What is my risk of cancer with this info? I'm not symptomatic. Jan2018 ct w/wo contrast of pelvis (gall bladder) was negative. Thanks very much! XXXXXXX
Brief Answer:
Gallbladder may be removed
Detailed Answer:
Hi,
Thanks for posting your query.
I am Dr.R.K and I am pleased to assist you.
Both cholecystitis and gallbladder cancer show thickened wall in scans.
Many a times histopathological examination of gallbladder removed for cholecystitis show evidence of cancer.
Histopathological examination is the only way to to confirm it.
I would advise you to get the gallbladder removed and get a histopathological examination of it done.
Regards,
Dr.R.K
Gallbladder may be removed
Detailed Answer:
Hi,
Thanks for posting your query.
I am Dr.R.K and I am pleased to assist you.
Both cholecystitis and gallbladder cancer show thickened wall in scans.
Many a times histopathological examination of gallbladder removed for cholecystitis show evidence of cancer.
Histopathological examination is the only way to to confirm it.
I would advise you to get the gallbladder removed and get a histopathological examination of it done.
Regards,
Dr.R.K
Above answer was peer-reviewed by :
Dr. Prasad
What does “borderline” wall thickening mean? Can that mean for example less than 1 cm?
Thanks!!
Thanks!!
And is mri better than ct if further imaging is needed?
Brief Answer:
Answer given below
Detailed Answer:
Hi,
Up to 4 mm, it is considered normal.
So borderline wall thickening means around 4 mm.
CT scan is a better modality for further evaluation.
Regards,
Dr R.K
Answer given below
Detailed Answer:
Hi,
Up to 4 mm, it is considered normal.
So borderline wall thickening means around 4 mm.
CT scan is a better modality for further evaluation.
Regards,
Dr R.K
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
What kind of ct and why better than mri??
Thanks
Thanks
Brief Answer:
Answer given below
Detailed Answer:
Hi,
Contrast enhanced CT scan should be done.
When cancer is suspected CT scan is a better option than MRI.
Regards
Dr.R.K
Answer given below
Detailed Answer:
Hi,
Contrast enhanced CT scan should be done.
When cancer is suspected CT scan is a better option than MRI.
Regards
Dr.R.K
Above answer was peer-reviewed by :
Dr. Yogesh D
Ct of what body part?
Brief Answer:
CT scan of the abodmen
Detailed Answer:
Hi,
CT scan of the abdomen.
Regards,
Dr.R.K
CT scan of the abodmen
Detailed Answer:
Hi,
CT scan of the abdomen.
Regards,
Dr.R.K
Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
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