Patchy hyperdense shadows in the gallbladder need to be analyzed according to the cause to see if the condition is serious. Patchy hyperdense shadows in the gallbladder may be caused by cholecystitis or gallstones, which are usually not serious, but can be more serious if not treated in time. 1. Cholecystitis: mainly includes acute cholecystitis and chronic cholecystitis. When acute cholecystitis occurs, the condition may be more serious, the patient will have acute biliary colic, and will be accompanied by cholestasis. Chronic cholecystitis is more complex, timely treatment can be cured, not serious; but if the condition is neglected, it may cause complications, such as gallbladder polyps, and even the risk of cancer. 2. Gallbladder stones: For asymptomatic gallbladder stones, the condition is usually not serious, so you can do no special treatment first, and do ultrasound examination regularly. If the symptoms are serious, with acute biliary colic, it will be more serious, and if not treated in time, the gradual increase of the stones will affect the normal excretion, leading to biliary stasis, and in serious cases, it will also affect the liver. At present, the gallbladder is found to see patchy high-density shadow, it is recommended that regular observation, and later according to the diagnosis of the results of targeted treatment, the specific treatment should be carried out in accordance with the doctor’s instructions.