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Calculus in the Gallbladder

A 53-year-old male presented to the emergency department with complaint of right upper quadrant pain and nausea. The following image of the gallbladder was obtained. A single echogenic calculus with an acoustic shadow was seen in the neck of the gallbladder. The calculus did not move with change in position. What is this sign? A. […]

A 53-year-old male presented to the emergency department with complaint of right upper quadrant pain and nausea. The following image of the gallbladder was obtained. A single echogenic calculus with an acoustic shadow was seen in the neck of the gallbladder. The calculus did not move with change in position.

What is this sign?

A. Wall-Echo-Shadow (WES) sign
B. Ultrasound Murphy’s sign
C. Stone-in-Neck (SIN) sign

Image courtesy of UltrasoundCases.info owned by SonoSkills.

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