Which Gallstones Are Radiolucent?

Mixed cholesterol stones, accounting for the majority of stones found clinically, are composed predominantly of cholesterol but also contain variable amounts of bilirubin and calcium salts. Most often, these stones are multiple, and 85% of them are radiolucent and cannot be seen on regular x-ray films.

Which type of gallstones are radiopaque?

Black pigment or mixed gallstones may contain sufficient calcium to appear radiopaque on plain films. The finding of air in the bile ducts on plain films may indicate the development of a choledochoenteric fistula or ascending cholangitis with gas-forming organisms.

Are brown gallstones radiolucent?

In contrast to black pigment stones that are usually radiopaque, brown pigment gallstones are radiolucent. For brown gallstones to form, the biliary tree must become infected with colonic anaerobic microbiota producing β-glucuronidase, an enzyme that hydrolyzes bisglucuronosyl bilirubin to UCB.

Alexander Ross

Alexander Ross

Gaming, Esports & Interactive Media Writer

Alexander Ross has covered the video game industry for a decade, writing deep dives on game design, esports tournaments, VR developments, and gaming culture.