Biliary Tract: Porcelain Gallbladder Porcelain Gallbladder BasicsCalcification of Gallbladder WallOverall Cancer Incidence: 6%Extent of Calcification & Cancer RiskComplete Intramural Calcification: Less Likely to Be CASelective Mucosal Calcification: More Likely to Be CADiagnosisDx: CTTreatmentASx & Complete Calcification: Serial Imaging*Old Dogma to Remove All Porcelain Gallbladders Due to High Risk of Malignancy Has Since Been DisprovenSx or Selective Calcification: Cholecystectomy Porcelain Gallbladder on XR 1 Porcelain Gallbladder on CT 2 References Wikimedia Commons (License: CC BY-2.0)Wikimedia Commons (License: CC BY-SA-3.0)