Date : 00.00.00
Name of the Patient : Abc XyzWlmn / M / 63 yrs.
Referred by : Dr. Abc Xyzlsara. Examination : M.R.Cholangiogram.
CLINICAL PROFILE : C/O abdominal pain since 6 months.
MR Cholangiogram was performed. 6 mm thick T1 Weighted and T2 Weighted axial images. 6 mm thick T2 Weighted coronal images.OBSERVATION :
There are multiple hypointense areas on all the pulse sequences within the neck of the gall bladder and which represent gall stones. Similar areas are also noted within the cystic duct. The common bile duct in its extrahepatic portion is dilated along with dilatation of the right and left hepatic ducts with mild prominence of the intrahepatic biliary radicles. There are multiple hypointense areas within the common bile duct on all the pulse sequences which may represent calculi. The distal portion of the common bile duct is narrow and is seen to taper towards the ampulla. This is most probably due to edema, probably the result of passage of a stone (? inflammatory stricture).
The pancreatic duct is unremarkable.
The intrahepatic venous architecture is normal.
The gall bladder is well-distended and appears folded upon itself.
The MRI features are suggestive of :
1. Multiple gall stones.
2. Presence of stones in the cystic duct and common bile duct.
3. Tapering of the distal portion of the common bile duct, probably due to passage of a stone (? inflammatory stricture).