ke/sb/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzghrao S. Salmn / M / 66 yrs.
Referred by : Dr. Abc Xyzdeo. Examination : M.R.Cholangiogram.
CLINICAL PROFILE :
C/O abdominal pain with vomiting since 3 days. EXAMINATION :
MR Cholangiogram was performed. 7 mm thick T1 Weighted and T2 Weighted axial images.
7 mm thick T2 Weighted coronal images.OBSERVATION :
There are multiple rounded hypointense areas on all the pulse sequences within the gall bladder which would represent calculi. The gall bladder is distended. No pericholecystic fluid collection is noted.

The pancreas appear bulky with slight streaking of the peripancreatic fat plane. Fluid collection is seen anterior to the pancreas in the lesser sac. The terminal portion of the pancreatic duct is visualized. The distal segment of the pancreatic duct is not visualized on this study.

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.Both the visualized kidneys, adrenals and spleen are normal in size and shape. Scan-00001


The visualized left and right hepatic ducts and the common hepatic duct is normal in it's course and calibre. The common bile duct is well-visualized in it's entire course and measures 8 mm in its maximum transverse dimension. Suspicious calculi are noted in the terminal common bile duct, best appreciated on Scan 629.3.
IMPRESSION :

1. Gall stones.

2. Acute pancreatitis with peripancreatic fluid collection.
3. Suspicious gall stones in the terminal common bile duct, which measures approximately 8 mm in maximum transverse dimension.