The normal gallbladder wall measures up to 3 mm. Thickening beyond 3 mm may suggest cholecystitis, heart failure, hepatitis, or hypoalbuminemia. Measurements should be taken with the patient fasting, using the anterior gallbladder wall.
According to Rumack’s Diagnostic Ultrasound:
“The gallbladder wall is considered thickened if it measures greater than 3 mm.”
[Reference:, Rumack CM, Wilson SR, Charboneau JW, Levine D. Diagnostic Ultrasound. 5th ed. Elsevier, 2017., AIUM Practice Parameter for the Performance of Gallbladder Ultrasound Examinations, 2020., —]
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