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Echogenic Bile
KEY FACTS
Imaging
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Amorphous, mid-/high-level echoes within gallbladder or bile ducts
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Free floating or mass-like, mobile, settling in dependent position
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Floating punctate echoes may show ring-down artifact
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Occasionally round, low to intermediate echogenicity and mass-like: "Tumefactive" sludge
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No posterior acoustic shadowing (unlike stones) and no internal color flow (suggesting mass)
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