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Date : 00.00.00
Name of the Patient : Abc Xyzdevi Jailmn / F / 35 yrs.
Referred by : Dr. Abc Xyzdeo. Examination : M.R.Cholangiogram.
C/O jaundice since 3 months. 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 ill-defined, intermediate signal intensity lesion within the gall bladder fossa on the T1 Weighted images. This is seen to be heterogenenously hyperintense on the T2 Weighted images. The gall bladder cannot be identified separately from this lesion.

The extrahepatic portion of the common bile duct and the common hepatic duct at the level of the porta appears to be compressed. There is resultant dilatation of the intrahepatic biliary radicles. The terminal portion of the common bile duct is well-visualized. There is a very narrow communication between the right and left hepatic ducts. The pancreatic duct is not well visualized.

There are subtle hypointense areas within the inferior aspect of the right lobe of the liver anteriorly on the T1 Weighted images which are seen to turn heterogeneously hyperintense.

There is mild hepatomegaly.

- 2 - Scan-00001

There is moderate enlargement of the spleen, however the spleen shows normal signal intensity.

The rest of the liver parenchyma appears normal. The intrahepatic venous architecture is normal.IMPRESSION :

The MRCP features are suggestive of :

1. Hepatosplenomegaly.

2. Lesion in the gall bladder fossa is not specific for a single etiology. This most probably represents a neoplastic process like,

a. Carcinoma of the gall bladder.

b. Cholangiocarcinoma.

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