Abdominal ultrasound of a patient showed gall bladder with diffuse wall thickening and hyperechoic nodules at the neck and few comet tail aifacts. What is the most likely diagnosis?
Adenomyomatosis is a benign condition characterized by hyperplastic changes of unknown etiology involving the gallbladder wall. It causes overgrowth of the mucosa, thickening of the muscular wall, and formation of intramural diveicula or sinus tracts termed as Rokitansky-Aschoff sinuses. Ultrasound shows a thickened gall bladder wall, punctate hyperechoic reflectors with comet tail aifacts.
Adenomyomatosis
Adenocarcinoma of gall bladder
Xanthogranulomatous cholecystitis
Chelesterol crystals