14yr FS DMH with distended GB, cystic duct and CBD

14yr FS DMH with distended GB, cystic duct and CBD

14yr  FS DMH with inappetence, weight loss, and jaundice TBil=5.3, ALT= 345, ALP=230, GGT=6 Abdominal ultrasound shows a turbid gallbladder with an echogenic, thickened wall (2-3mm), dilated and tortuous cystic and CBD with thickened walls.  Gravity-dependent sludge is present in the GB but I do not see any slude or bile stones in the CBD…

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