Biliary - Gallstone in Neck Causing Mirizzi's Syndrome
Caption
Note the hyperechoic structure with posterior acoustic shadowing indicative of a gallstone. Patient was moved and the stone remained lodged in the neck. Additionally, gallbladder sludge can be seen. The patient was found to have elevated LFTs. MRCP performed demonstrating external compression of biliary tree this large stone in GB neck consistent with Mirizzi’s syndrome. Image courtesy of Robert Jones DO, FACEP @RJonesSonoEM Director, Emergency Ultrasound; MetroHealth Medical Center; Professor, Case Western Reserve Medical School, Cleveland, OH View his original post here