Which of the following is the most appropriate diagnostic imaging follow-up in a patient with history of chronic alcoholism, who has pain referred to the lower thoracic spine, and whose radiographs show punctate calcifications traversing the upper lumbar spine on AP radiographs of the abdomen?

Question

Quizplus · Accepted Answer

The radiographic findings of punctate calcifications in the upper lumbar spine suggest the presence of calcified gallstones (porcelain gallbladder), a complication of chronic alcoholism. Computed tomography is the most appropriate imaging modality to further evaluate the biliary tract and surrounding structures. Endoscopic retrograde cholangiopancreatography may be considered if a therapeutic intervention is needed, and diagnostic ultrasonography may not provide sufficient detail to evaluate the extent of the disease. An upper gastrointestinal barium study is not indicated in this clinical scenario.

Which of the Following Is the Most Appropriate Diagnostic Imaging