Case 262: Gallbladder Carcinoma (primary)
51 year old woman with right upper quadrant pain.
CT: With intrahepatic perforation
CT demonstrates significantly thickened gallbladder wall with progressive fibrotic enhancement, representing resection proven gallbladder carcinoma. Non opaque gallbladder stones (better demonstrated on MR). The tumor has perforated focally into liver segment 5 (see focal sacculation of the gallbladder wall at 10 o'clock).
Stent within the common bile duct to decompress biliary obstruction due small second ductal mass (not shown).