Limy Bile Syndrome on POCUS You are performing a POCUS GB exam on elderly woman and notice the following in the GB lumen (hyperechoic layer with posterior shadowing). What is it? Sludge? Answer: Milk of calcium bile-also known as limy bile. Pasty, semisolid substance-Ca carbonate. Usually associated with GB stasis.Rarely known to cause cholecystitis or move into CBD. CT Correlate: https://twitter.com/RJonesSonoEM/st Dr. Robert Jones @RJonesSonoEM #LimyBile #Syndrome #POCUS #clinical #gallbladder
