Date : 00.00.00
Name of the Patient : Abc Xyz Plmn / F / 60 yrs.
Referred by : Dr. Abc Xyzdeo. Examination : M.R.Cholangiogram.
CLINICAL PROFILE :
Known C/O obstructive jaundice since 3 weeks with abdominal pain, weight loss and loss of appetite. EXAMINATION :
MR Cholangiogram was performed. 7 mm thick T1 Weighted and T2 Weighted axial images. 8 mm thick T2 Weighted coronal images.OBSERVATION :
There is mild hepatomagaly.
There is seen, an intermediate signal intensity mass lesion on the T1 Weighted images in the region of the porta hepatis at the bifurcation of the right and left hepatic ducts and probably involving the common hepatic duct. This lesion appears predominantly hypointense on the T2 Weighted images. Resultant mild to moderate dilatation of the intrahepatic biliary ducts and the right and left hepatic duct upto the mass lesion is noted. The right lobe of the liver seems to have two main draining ducts. Similar signal intensity mass lesion is noted in the gall bladder. The common bile duct is not well-visualized and is not dilated. The pancreatic duct is also not dilated.
No focal mass lesion is identified in the liver parenchyma per se.
Both the visualized kidneys, pancreas, adrenals and spleen are unremarkable. There are no abnormally enlarged lymphnodes in the abdomen. There is no free fluid.
The MR Cholangiogram reveals a mass lesion at the porta hepatis at the level of the right and left hepatic ducts and also involving the gall bladder. Resultant mild to moderate dilatation of the intrahepatic biliary radicles is noted. A cholangiocarcinoma or a carcinoma of the gall bladder may be considered as a likely possibility.