Name of the Patient : Abc Xyzt Dlmn / M / 71 yrs.
Referred by : Dr. Abc Xyzrkar / Dr. Abc Xyz. Shah. Examination : M.R.Cholangiogram.
CLINICAL PROFILE :
C/O jaundice since 00.00.0000.EXAMINATION :
MR Cholangiogram was performed. 7 mm thick T1 Weighted, T2 Weighted and STIR axial images. 8 mm thick T2 Weighted and 7 mm thick STIR coronal images.OBSERVATION :
There is an ill-defined, intermediate signal intensity mass lesion on the T1 Weighted images at the junction of the right and left hepatic ducts. This lesion appears relatively hypointense on the T2 Weighted and STIR images. There is resultant mild to moderate dilatation of the intrahepatic biliary radicles. The common hepatic duct is not well identified on this study.
The gall bladder is small and contracted. The cystic duct is not identified. The pancreatic duct is not dilated. The terminal common bile duct is visualized and not dilated.
There is mild hepatosplenomegaly.
The intrahepatic venous architecture is normal. No focal lesion is identified in the spleen.Both the visualized kidneys, pancreas and adrenals are unremarkable. There is no free fluid in the abdomen.
Ill-defined, mass lesion at the junction of the right and left hepatic ducts is most likely a cholangiocarcinoma. Resultant mild to moderate dilatation of the intrahepatic biliary radicles is noted upto the level of the common hepatic duct which is not well identified.