Date : 00.00.00
Name of the Patient : Abc Xyzarayan Ylmn / M / 28 yrs.
Referred by : Dr. Abc Xyzrdikar.
Examination : M.R. Cholangiogram.
CLINICAL PROFILE :
C/O pain in the abdomen since 4 months.
C/O vomiting for 15 days in January 0000.
C/O jaundice since 1 month.
The upper abdomen was scanned with 7 mm thick T1 Weighted and T2 Weighted axial images and 8 mm thick T2 Weighted coronal images.
MR cholangiogram was also obtained.
There is moderate dilatation of the intrahepatic biliary radicles, the common bile duct and the pancreatic duct. Cut-off of the common bile duct and the pancreatic duct at the level of the uncinate process/periampullary region is noted. An intermediate signal intensity lesion on the T1 Weighted images which is relatively hypointense on the T2 Weighted images is noted in the periampullary region. The gall bladder is also moderately distended with evidence of layering. The pancreatic margins appear irregular with a beaded appearance of the pancreatic duct that is dilated.
There is no focal area of altered signal in the liver parenchyma. Mild hepatomegaly is noted.
Both the kidneys, spleen and the adrenal glands are unremarkable.
There are no abnormally enlarged abdominal lymph nodes or free fluid noted.
Moderately dilated intrahepatic biliary radicles, common bile duct and the pancreatic duct with cut-off at the level of the uncinate process/periampullary region. Suspicious soft tissue lesion is noted in the periampullary region. A periampullary mass lesion (? malignant or as a result of chronic pancreatitis) should be ruled out.