The abnormality seen in this sonogram is most consistent with which condition?

The abnormality seen in this sonogram is most consistent with which condition?

• A. An adenoma
• B. Cholelithiasis
• C. Cholesterolosis
• D. Adenomyomatosis

Answer: (D)

Adenomyomatosis is characterized by hyperplastic changes in the gallbladder wall, which can lead to a thickened appearance on sonographic imaging. In this condition, the gallbladder wall may display a distinct pattern of echogenicity due to the presence of abnormal tissue growth. The sonogram may reveal features such as diverticula or "comet-tail" artifacts, which are indicative of this condition. In the context of sonography, recognizing the patterns associated with adenomyomatosis helps differentiate it from other gallbladder abnormalities. While an adenoma, cholelithiasis, and cholesterolosis can present with varying sonographic findings, their characteristics differ significantly. An adenoma would appear as a focal, typically hypoechoic mass, while cholelithiasis is identified as echogenic foci with posterior shadowing. Cholesterolosis, on the other hand, may be indicated by the presence of polyps or "strawberry gallbladder" appearance, which also contrasts with the findings from adenomyomatosis. Thus, when evaluating the specific sonographic features, adenomyomatosis stands out due to its unique presentation and the typical changes seen in the gallbladder wall, making

Adenomyomatosis is characterized by hyperplastic changes in the gallbladder wall, which can lead to a thickened appearance on sonographic imaging. In this condition, the gallbladder wall may display a distinct pattern of echogenicity due to the presence of abnormal tissue growth. The sonogram may reveal features such as diverticula or "comet-tail" artifacts, which are indicative of this condition.

In the context of sonography, recognizing the patterns associated with adenomyomatosis helps differentiate it from other gallbladder abnormalities. While an adenoma, cholelithiasis, and cholesterolosis can present with varying sonographic findings, their characteristics differ significantly. An adenoma would appear as a focal, typically hypoechoic mass, while cholelithiasis is identified as echogenic foci with posterior shadowing. Cholesterolosis, on the other hand, may be indicated by the presence of polyps or "strawberry gallbladder" appearance, which also contrasts with the findings from adenomyomatosis.

Thus, when evaluating the specific sonographic features, adenomyomatosis stands out due to its unique presentation and the typical changes seen in the gallbladder wall, making