PATHOLOGY MCQ
BILIARY
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Question
[CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
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Which of the following ultrasound findings best describe cholesterolosis of the gallbladder?
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A single 13-mm hyperechoic, non-shadowing, polyp
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A 10-mm mural mass with solid and cystic features
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Hypoechoic, sessile, non-shadowing polyp
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Multiple, hyperechoic, pedunculated, non-shadowing, non-mobile 4-mm masses
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Multiple, hyperechoic, non-mobile 5-mm masses with posterior shadowing
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Explanation:
Detailed explanation-1: -Cholesterolosis is characterized by mucosal villous hyperplasia with excessive accumulation of cholesterol esters within epithelial macrophages. Usually clinically silent, the condition rarely is associated with biliary symptoms or idiopathic pancreatitis and cannot reliably be detected by ultrasonography.
Detailed explanation-2: -Adenomyomas are hyperplastic non-neoplastic lesions developing from the gallbladder wall. Adenomyomas are the most common benign polypoid lesions after cholesterol polyps (25%). It is reported that it is mostly seen in women over 50 years old and with a frequency of 2.5-5%.
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