VizD Challenge Week of 5/21/2007

An 89-year-old woman presents to your Emergency Department with a 3 day history of sharp waves of pain in her right upper quadrant that is associated with nausea, and decreased appetite. Her past medical history is significant for a hiatal hernia, hypertension, and diabetes. An ultrasound is performed as seen below.


(click on image to enlarge)








Questions:
1. What is the patient's diagnosis?
2. Name 3 organisms responsible for this condition?
3. What is the pertinent sonographic finding?

Winner receives $5
To submit your answer please click on "comments" below.
For more information about the contest, click here.

VizD is a weekly contest of an interesting or pathognomonic image from emergency medicine. Its goal is to integrate learning into a fun and relaxed environment. All images are original and are posted with the consent of the patient. For more information please refer to the following link.