This incidental finding on ultrasound abdomen is suggestive of:: (A) Gall bladder stone, (B) Gall bladder polyp, (C) Adenomyomatosis, (D) Xanthgranulomatous cholecystitis
Answer is C. Adenomyomatosis: Image shows: Diamond ring sign / comet tail aefact / V - shaped aefact Hyperplasia in muscularis & hyperproliferation of mucosa in gall bladder. Rokitansky-Aschoff sinuses are deep and there is deposition of Cholesterol crystal, when ultrasound is performed it looks like a ring. Rx: Symptomatic gall stone present - Lap. Cholecystectomy