The clip shows echogenic, multiple calculi seen in right lobe of liver and produces clear shadow. The calcification appears to be intrabiliary, either pass from gallbladder or biliary infections e.g. recurrent Pyogenic Cholangitis or associated with cholangiocarcinoma in 3-10% [1]. Thanks to VLucid platform G65 and single crystal probe [S2-9C], the clip shows an excellent near field resolution of liver capsule, uniformity over the entire liver showing portal vein, common bile duct, hepatic vein,
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The right kidney is small in size with irregular outline and loss of cortico-medullary distinction. Multiple echogenic foci with posterior acoustic shadowing are seen within the renal pelvis suggestive of renal calculi. No significant hydronephrosis is noted. The left kidney shows compensatory hypertrophy | Dr. Shabana's School of Sonology.
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