Table 3 CT characterization of benign and malignant GB wall thickening
From: Clinical approach to patients with thick wall gallbladder
CT findings | Benign | Malignant |
|---|---|---|
Thickening | Diffuse, symmetrical | Focal, asymmetrical |
Enhancement | (a) Single layer: Homogenous (b) Two layered patterns: Inner layer iso-attenuating to liver | (a) Thick one layer with heterogeneous enhancement (b) Two layers: Strongly enhancing thick inner layer (≥ 2.6 mm) with weakly enhancing or non-enhancing thin outer layer |
Bile duct obstruction | Uncommon | More common |
Lymphadenopathy | Usually absent | Mostly present |
Adjacent organ infiltration | Not seen commonly | Present in advanced disease |