An unusual case of pain in the right upper quadrant


Submitted by : Ali Alsafi, Chris Harvey, Imperial College Healthcare NHS Trust, London


A 37 year-old lady with a three month history of pain in the right upper quadrant was referred by her GP for an abdominal ultrasound. She also had a long history of pelvic pain.

Ultrasound images are shown in Figs 1, 2 and 3.




Figure 1

Sagittal view of the liver. The site of pain (arrows) was indicated by the patient.


Figure 2

Cineclip of the area indicated in Fig 1 using a high frequency probe with power Doppler.



Figure 3

Ultrasound of the left ovary (arrow).              

What is the most likely diagnosis and differential diagnoses?


To see the diagnosis / differential diagnoses please click here