sb/hs/nl/nl
Name of the Patient : Abc Xyzen Dlmn / F / 69 yrs.
Referred by : Dr. Abc Xyztankar. Examination : M.R.Cholangiogram.
CLINICAL PROFILE : C/O pain in the abdomen with vomiting.
EXAMINATION :
MR Cholangiogram was performed. 7 mm thick T1 Weighted and T2 Weighted axial images. 5 mm thick T2 Weighted coronal images.OBSERVATION :
There is mild hepatosplenomegaly without a focal lesion in the liver of the spleen.
There is no intrahepatic biliary radicle dilation. The intrahepatic venous architecture is normal.The gall bladder shows physiological distention. Multiple calculi are noted in the gall bladder. There is no pericholecystic fluid collection. The gall bladder wall is minimally thickened.
Both the visualized kidneys, pancreas and adrenals are normal in size and signal characteristics. There are no abnormally enlarged lymph nodes noted. There is no free fluid in the abdomen.
On the MRCP, there is no dilatation of the intrahepatic biliary radicles or the extrahepatic biliary system. The visualized pancreatic duct is normal. No obvious calculi are noted in the common bile duct.
IMPRESSION :
1. Mild hepatosplenomegaly.
2. Cholecystitis with cholelithiasis.
3. No obvious calculi are noted in the common bile duct. There is no dilatation of the intrahepatic or extrahepatic biliary system.