Date : 00.00.00
Name of the Patient : Abc XyzMlmn / M / 60 yrs.
Referred by : Dr. Abc Xyz Shah. Examination : M.R.Cholangiogram.
CLINICAL PROFILE :
C/O abdominal pain since 1 week with jaundice (detected on 00.00.00). EXAMINATION :
MR Cholangiogram was performed. 7 mm thick T1 Weighted and T2 Weighted axial images. 7 mm thick T2 Weighted coronal images.OBSERVATION :
The gall bladder is distended and shows thickening of its wall, which measures approximately 5.0 mm. A focal hypointense area is seen in the fundus of the gall bladder (se/im 6/4) on the T2 Weighted images and may represent a small calculus. The cystic duct is tortuous and is also dilated and measures approximately 1.3 cms in its maximum transverse dimension. A focal hypointense area is seen within the cystic duct on the T2 Weighted images. This is of intermediate signal intensity on the T1 Weighted images and would represent a calculus.
The right lobe of the liver is small. Resultant hypertrophy of the left lobe is noted. There is no focal or diffuse area of altered signal intensity. There is no intrahepatic biliary radicle dilation. The intrahepatic venous architecture is normal.Both the visualized kidneys, pancreas, adrenals and spleen are normal in size and signal characteristics.
The visualized intrahepatic biliary radicles, hepatic ducts and cystic duct are normal in it's course and calibre. The common bile duct is well-visualized in it's entire course upto it's insertion into the duodenum and is of normal calibre. There are no intrinsic lesions in the common bile ducts. The visualized pancreatic duct is unremarkable.IMPRESSION :
The MRCP features are suggestive of calculus cholecystitis with a distended gall bladder and cystic duct. The CBD is unremarkable.