This 85 year-old female presented with abdominal pain. An MR was performed which confirmed the ultrasound findings. Extensive liver metastases were also demonstrated.

Gallbladder carcinoma may present as a large mass infiltrating the liver and gallbladder fossa, an intraluminal mass (as in this case), or focal or diffuse mural thickening. Seventy-five percent of patients have gallstones. GB carcinoma is most commonly found in elderly females. Gallstones, chronic cholecystitis and porcelain gallbladder are risk factors for the development of GB carcinoma.