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. 2020 Mar 27;10:9. doi: 10.25259/JCIS_145_2019

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© 2020 Published by Scientific Scholar on behalf of Journal of Clinical Imaging Science

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Figure 2: — A 62-year-old man with diabetes who presented with abdominal pain and nausea of 5-day duration. Sagittal (a) and transverse (b) gray scale ultrasound showed a distended gallbladder with gas (black arrows) within the anterior wall, which is causing “dirty” acoustic shadowing. Also note the focal fluid collections anterior to the gallbladder (white arrows, a, b), which is concerning for gallbladder perforation. (c) Axial T2-weighted MRI scan confirmed the findings of gas within the gallbladder wall (black arrow) and fluid collections (white arrows).