Date : 00.00.00
Name of the Patient : Abc Xyzray Plmn / M / 43 yrs.
Referred by : Dr. Abc Xyzshi. Examination : M.R.Cholangiogram.
CLINICAL PROFILE : C/O pain in the abdomen with nausea since 1 month.
H/O jaundice since 7 months.
MR Cholangiogram was performed. 7 mm thick T1 Weighted and T2 Weighted axial images. OBSERVATION :
There is hepato-splenomegaly without an obvious focal lesion in the liver or the spleen.
There is moderate dilatation of the intrahepatic biliary radicles, with the left biliary ductal system more dilated than the right. The site of the obstruction is noted at the junction of the right and left hepatic ducts. The proximal common bile duct and the cystic duct are not well identified. The terminal common bile duct is identified and is not dilated. The gall bladder is well distended and shows evidence of layering of the bile.
The pancreas and both kidneys are unremarkable. The pancreatic duct is not dilated.
There is no ascites.
2. Moderate dilatation of the intrahepatic biliary radicles, more on the left side with the site of obstruction at the junction of the right and the left hepatic ducts (the common hepatic duct is not well identified). A cholangiocarcinoma (? enlarged portalymphnodes) should be ruled out.