Name of the Patient : Abc Xyzindaraj Kalmn / M / 50 yrs.
Referred by : Dr. Abc Xyznkar. Examination : M.R.Cholangiogram.
CLINICAL PROFILE : C/O pain in the abdomen.
MR Cholangiogram was performed. 7 mm thick T1 Weighted and T2 Weighted axial images. 6 mm thick T2 Weighted coronal images.OBSERVATION :
There is dilatation of the pancreatic duct, which measures approximately 9.0 mms in its maximum dimension. A focal hypointense lesion at its terminal end in the region of the pancreatic head and in the region of the tail of the pancreas may represent pancreatic duct calculi. The bulk of the pancreas is atrophied and is not well identified. The left and right hepatic ducts, common hepatic duct, common bile duct and the gall bladder are unremarkable and show normal dimensions. There is no dilatation of the intrahepatic biliary radicles or the common bile duct. The gall bladder shows no obvious intrinsic lesion.
The liver is normal in size, shape and position. There is no local or diffuse area of altered signal intensity. The intrahepatic venous architecture is normal.
Multiple cortical renal cysts are noted bilaterally. The kidneys appear slightly smaller in size as compared to normal.
The spleen is slightly hypointense on the T2 Weighted images (?? iron overload).Scan-00006
There are no abnormally enlarged lymph nodes in the upper abdomen. There is no free fluid.
1. Decrease in the bulk of the pancreas with a dilated pancreatic duct and probable calculi in the pancreatic duct suggests chronic pancreatitis. The biliary system is unremarkable.
2. Multiple, fairly large, renal cortical cysts bilaterally.