Date : 00.00.00
Name of the Patient : Abc Xyz Anlmn / M / 17 yrs.
Referred by : Dr. Abc Xyzshi. Examination : M.R.Cholangiogram.
CLINICAL PROFILE :
C/O abdominal pain since 1 year. EXAMINATION :
MR Cholangiogram was performed.
The abdomen was scanned with 7 mm thick T1 Weighted and T2 Weighted axial images and 7 mm thick T2 Weighted coronal images.OBSERVATION :
There is mild dilatation of the pancreatic duct which measures approximately 7.0 mm in its maximum transverse dimension. Multiple small, filling defects in the pancreatic duct would represent calculi, best appreciated on the MRCP images. A calculus is also noted at the terminal end of the pancreatic duct. The pancreas appears slightly decreased in bulk for the patients age, without change in signal characteristics.
The liver is normal in size, shape and position. There is no local or diffuse area of altered signal intensity. There is no intrahepatic biliary radicle dilation. The intrahepatic venous architecture is normal. The common bile duct, right and the left hepatic ducts and the common hepatic duct are unremarkable. No obvious calculi are noted in the biliary system.
The gall bladder is well-distended and shows no obvious calculi.
Mild splenomegaly is noted. Both the visualized kidneys and adrenal glands are normal in size and signal characteristics.
1. Dilated pancreatic duct with multiple filling defects within most likely represent calculi. The pancreas is decreased in bulk for the patients age. Chronic pancreatitis is a likely possibility.
2. Normal biliary system without obvious biliary calculi.
3. Mild splenomegaly.