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Not every bright finding in the gallbladder is a gallstone. Gallstones and gallbladder polyps can look similar at first glance, but ultrasound helps tell them apart. Gallstones create a dark shadow behind them and move when the patient changes position. Polyps, on the other hand, stay attached to the gallbladder wall and do not cast a shadow. Knowing the difference is important because management and follow-up can vary. Ultrasound plays a key role in identifying these features quickly and safely
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