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Young women undergoing liver MR after routine gallbladder US for upper abdominal pain. It's tricky to read...all slices (except A1) are at two levels.

Sequence weightings:
A1 (T2 fs/T2)
A2 (T1 GE)
A3 (T1 GE fs)
A4 (T1 GE fs CE arterial)
A5 (T1 GE fs CE venous)
A6 (T1 GE fs CE arterial SUBTRACTION)
A7 (T1 GE fs CE venous SUBTRACTION)

For a correct diagnosis you MUST describe: content of the gallbladder, eventual formations in the gallbladder, differential diagnosis.

First to give the correct answere is going to win a prize...

Views: 259

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Comment by FAROOQ RASOOL CHAUDHRY on January 10, 2010 at 12:18pm
can u add on ultrasound pictures too.
Comment by Nixon Cevallos on July 12, 2009 at 12:33pm
Litiasis
Comment by shivani on December 26, 2008 at 1:30am
looks like a gall bladder polyp/calculus with cholecystitis and likely intraluminal lyme/fat.
Comment by Michele Anzidei on October 14, 2008 at 12:02pm
for saeed rad: mmmh...no ascaris at all !

for karthikeyan D: good for the bleeding...but it is not endometriosis !

Suggestion: the answer is in A6-A7 slices
Comment by karthikeyan D on October 14, 2008 at 12:58am
hi michele,
i will hazard a guess of endometriosis with bleed based on the clinical histroy and signal intensity .
Comment by saeed rad on October 14, 2008 at 12:55am
Is it an ascaris lumbricoid in the gall-bladder?

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