Ultrasonic Diagnosis of Intrahepatic Biliary Stones
- Joseph Panella, MD;
- David Rochester, MD;
- Richard Williams, MD;
- Joel Bernstein, MD
Since this article does not have an abstract, we have provided the first 150 words of the full text.
Excerpt
To the Editor.— The ultrasound characteristics of stones in the gallbladder are well known.1 Ultrasound has also been reported to be useful in showing renal calculi.2 In both locations stones typically show dense echoes with acoustic shadowing. We report a case of intrahepatic stones in a patient with primary intrahepatic calculus disease and discuss the clinical and ultrasonic features.
Report of a Case.— Six years after undergoing a cholecystectomy, a 32-year-old Oriental woman had a chief complaint of sudden onset of nausea, vomiting, and right upper quadrant pain radiating to the back. She was not jaundiced, but her urine was dark. Results of a roentgenographic examination of the chest and abdomen were normal. The total bilirubin value was 1.5 mg/dL, and an intravenous cholangiogram was performed, but the biliary system was not visualized. An ultrasound examination uncovered multiple echodense areas within the liver parenchyma that produced acoustic shadowing
