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Case of the Week 420 
What is the most likely diagnosis?
- 57 year-old female with right upper quadrant pain
Close-up of RUQ of Abdominal Radiograph
- Hepatic artery aneurysm
- Metastatic ovarian carcinoma
- Thorotrast
- Milk of Calcium bile
- Bullet
Additional Images - CT scan of abdomen
Additional Images
Axial CT of Abdomen (window optimized for finding)
Answer:
.
4. Milk of Calcium Bile
.
.
More (Click Discussion Tab)
Milk of Calcium Bile
General Considerations
- Rare disorder in which gallbladder (GB) lumen is filled with a semi-solid, radio-opaque material
- Mostly calcium carbonate with calcium bilrubinate or calcium phosphate in a milky liquid
- Gallbladder stasis from longstanding cystic duct obstruction and cholelithiasis have been implicated in its formation
- It may be a long-term complication of total parenteral nutrition
- Predominately affects adults
.
This Week
57 year-old female with right upper quadrant pain |
Presented as a series of cards, this podcast asks some of the most common causes of neuroimaging findings and diseases making it ideal for a quick review. Can be used as either an audio only or audio/video podcast.; Complements Video Flashcard Podcasts 15, 21,25, 38, 42, 46 and 47. |
Some of the fundamentals of interpreting chest images |
The top diagnostic imaging diagnoses that all medical students should recognize according to the Alliance of Medical Student Educators in Radiology |
Recognizing normal and key abnormal intestinal gas patterns, free air and abdominal calcifications |
Recognizing the parameters that define a good chest x-ray; avoiding common pitfalls |
How to recognize the most common arthritides |
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LearningRadiology
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| LearningRadiology.com |
is an award-winning educational website aimed primarily at medical students and radiology residents-in-training, containing lectures, handouts, images, Cases of the Week, archives of cases, quizzes, flashcards of differential diagnoses and “most commons” lists, primarily in the areas of chest, GI, GU cardiac, bone and neuroradiology. |
