. The American journal of roentgenology, radium therapy and nuclear medicine . bladder mustbe pathological. Either it is enlarged, itswalls are thickened, the bile is darker incolor (which means increased density)or there are stones in the gall-bladder or easily recognized shadow with carefullydeveloped technique. Any shadow which we can interpret asrepresenting a gall-bladder leads us verydefinitely to the opinion that it must 716 The Roentgenological Study of the Pathological Gail-Bladder represent pathology in some degree orform within or about the gall-bladder, withor without stones, and i
. The American journal of roentgenology, radium therapy and nuclear medicine . bladder mustbe pathological. Either it is enlarged, itswalls are thickened, the bile is darker incolor (which means increased density)or there are stones in the gall-bladder or easily recognized shadow with carefullydeveloped technique. Any shadow which we can interpret asrepresenting a gall-bladder leads us verydefinitely to the opinion that it must 716 The Roentgenological Study of the Pathological Gail-Bladder represent pathology in some degree orform within or about the gall-bladder, withor without stones, and is so reported. INDIRECT EVIDENCE We should go further in our investiga-tions, however, than merely looking for apositive gall-bladder or gall-stone shadow. has been found that a gall-bladder, besidesbeing easily visualized, may show pressureof itself upon the duodenum or antrum ofthe stomach; or possibly produce dis-placement, if it is large enough, of thejejunum, and especially of the colon, inthe right upper quadrant; or again, causea deformity of the first portion of the. Fig. 6a. Case 2794. Pathologi-cal gall-bladder with two largecalcareous gall-stones. Fig. 66. Case 1883. Pathologi- Fig. 6c. Case 4518. Pathological cal gall-bladder filled with stones gall-bladder with stones. Note the and adhesions picking up hepatic negative gall-stone shadow at of colon.
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