ke/hs/nl/rg.
Date : 00.00.00
Name of the Patient : Abc XyzChaudlmn / F / 46 yrs.
Referred by : Dr. Abc Xyzdeo. Examination : M.R.Cholangiogram.
CLINICAL PROFILE : C/O pain in the abdomen and fever (on and off).
Known C/O gall bladder carcinoma with liver metastases.
EXAMINATION :
MR Cholangiogram was performed. 7 mm thick T1 Weighted and T2 Weighted axial images. 8 mm thick T2 Weighted coronal images.OBSERVATION :
There is an intermediate signal intensity lesion on the T1 Weighted images which is seen to turn heterogeneously hyperintense on the T2 Weighted images in the region of the gall bladder. A well-defined hypointense lesion within the gall bladder on all the pulse sequences may represent a calculus. The fat plane surrounding the gall bladder anteriorly is breached with infiltration/involvement of the right lobe of the liver (more so inferiorly).

The liver parenchyma shows multiple hypointense lesions on the T1 Weighted images which are seen to turn hyperintense on the T2 Weighted images. The region of the porta is ill-defined and the distal portion of the comon bile duct is not visualized. There is gross dilatation of the right and left hepatic ducts and the intrahepatic biliary radicles.

Both the visualized kidneys and spleen are normal in size and shape.
There is slight loss of the fat plane adjacent to the head of the pancreas. The pancreatic duct is not well-visualized on this study.
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- 2 - Scan-00006

IMPRESSION :

1. A mass lesion in the region of the gall bladder with extensions as described may represent carcinoma of the gall bladder or a cholangiocarcinoma.

2. Gall stone.

3. Gross dilatation of the right and left hepatic ducts and the intrahepatic biliary ducts.