Contrast-enhanced ultrasound for differentiation of gallbladder sludge from polyp: A case report demonstrating clinical utility
Gallbladder lesion characterization remains a common diagnostic dilemma in abdominal imaging, particularly when differentiating between polyps and organized sludge. Findings on conventional gray-scale ultrasound may be equivocal, especially when typical imaging features such as mobility are absent....
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| Language: | English |
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Elsevier
2025-06-01
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| Series: | Radiology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043325002225 |
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| author | Zeyad F. Elias, BSc Stefanie Y. Lee, MD, FRCPC |
| author_facet | Zeyad F. Elias, BSc Stefanie Y. Lee, MD, FRCPC |
| author_sort | Zeyad F. Elias, BSc |
| collection | DOAJ |
| description | Gallbladder lesion characterization remains a common diagnostic dilemma in abdominal imaging, particularly when differentiating between polyps and organized sludge. Findings on conventional gray-scale ultrasound may be equivocal, especially when typical imaging features such as mobility are absent. We present a case of a 65-year-old patient who presented with a concerning nonmobile 3.7 cm gallbladder lesion on initial ultrasound assessment. Due to the superior sensitivity of contrast-enhanced ultrasound (CEUS) for blood flow compared to other imaging modalities, CEUS was able to demonstrate complete absence of enhancement within the lesion, consistent with tumefactive sludge rather than solid tissue, and averting the need for additional cross-sectional imaging. Surgical pathology following cholecystectomy confirmed these findings. This case highlights the utility of CEUS as a valuable tool in gallbladder imaging, potentially reducing healthcare costs and expediting appropriate patient care while avoiding the risks associated with other contrast-enhanced imaging modalities. |
| format | Article |
| id | doaj-art-e9f85dfec9e241e1ae2244a6fd6dd3a6 |
| institution | DOAJ |
| issn | 1930-0433 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj-art-e9f85dfec9e241e1ae2244a6fd6dd3a62025-08-20T03:09:07ZengElsevierRadiology Case Reports1930-04332025-06-012062980298310.1016/j.radcr.2025.03.012Contrast-enhanced ultrasound for differentiation of gallbladder sludge from polyp: A case report demonstrating clinical utilityZeyad F. Elias, BSc0Stefanie Y. Lee, MD, FRCPC1Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, CanadaDepartment of Medical Imaging, McMaster University; Hamilton Health Sciences, Juravinski Hospital and Cancer Centre, Hamilton, Ontario, Canada; Corresponding author.Gallbladder lesion characterization remains a common diagnostic dilemma in abdominal imaging, particularly when differentiating between polyps and organized sludge. Findings on conventional gray-scale ultrasound may be equivocal, especially when typical imaging features such as mobility are absent. We present a case of a 65-year-old patient who presented with a concerning nonmobile 3.7 cm gallbladder lesion on initial ultrasound assessment. Due to the superior sensitivity of contrast-enhanced ultrasound (CEUS) for blood flow compared to other imaging modalities, CEUS was able to demonstrate complete absence of enhancement within the lesion, consistent with tumefactive sludge rather than solid tissue, and averting the need for additional cross-sectional imaging. Surgical pathology following cholecystectomy confirmed these findings. This case highlights the utility of CEUS as a valuable tool in gallbladder imaging, potentially reducing healthcare costs and expediting appropriate patient care while avoiding the risks associated with other contrast-enhanced imaging modalities.http://www.sciencedirect.com/science/article/pii/S1930043325002225GallbladderContrast-enhanced ultrasound (CEUS)Cost-effectivenessUltrasoundGallbladder polypGallbladder sludge |
| spellingShingle | Zeyad F. Elias, BSc Stefanie Y. Lee, MD, FRCPC Contrast-enhanced ultrasound for differentiation of gallbladder sludge from polyp: A case report demonstrating clinical utility Radiology Case Reports Gallbladder Contrast-enhanced ultrasound (CEUS) Cost-effectiveness Ultrasound Gallbladder polyp Gallbladder sludge |
| title | Contrast-enhanced ultrasound for differentiation of gallbladder sludge from polyp: A case report demonstrating clinical utility |
| title_full | Contrast-enhanced ultrasound for differentiation of gallbladder sludge from polyp: A case report demonstrating clinical utility |
| title_fullStr | Contrast-enhanced ultrasound for differentiation of gallbladder sludge from polyp: A case report demonstrating clinical utility |
| title_full_unstemmed | Contrast-enhanced ultrasound for differentiation of gallbladder sludge from polyp: A case report demonstrating clinical utility |
| title_short | Contrast-enhanced ultrasound for differentiation of gallbladder sludge from polyp: A case report demonstrating clinical utility |
| title_sort | contrast enhanced ultrasound for differentiation of gallbladder sludge from polyp a case report demonstrating clinical utility |
| topic | Gallbladder Contrast-enhanced ultrasound (CEUS) Cost-effectiveness Ultrasound Gallbladder polyp Gallbladder sludge |
| url | http://www.sciencedirect.com/science/article/pii/S1930043325002225 |
| work_keys_str_mv | AT zeyadfeliasbsc contrastenhancedultrasoundfordifferentiationofgallbladdersludgefrompolypacasereportdemonstratingclinicalutility AT stefanieyleemdfrcpc contrastenhancedultrasoundfordifferentiationofgallbladdersludgefrompolypacasereportdemonstratingclinicalutility |