sb/ke/rg.
Date : 00.00.00
Name of the Patient : Abc XyzAgalmn / M / 52 yrs.
Referred by : Dr. Abc Xyzndesha. Examination : M.R.Cholangiogram.EXAMINATION :

MR Cholangiogram was performed. 7 mm thick T1 Weighted and T2 Weighted axial images. 6 mm thick T2 Weighted coronal images.OBSERVATION

There is seen a well-defined, approximately 3.0 x 2.5 cms sized, hypointense mass lesion on the T1 Weighted images in the right lobe of the liver, posteriorly. This lesion appears hyperinetense on the T2 Weighted images but is relatively suppressed on the long TE sequence. No perilesional satellite lesions are noted. No distortion of the intrahepatic vascular anatomy is noted.

The gall bladder is well-distended with evidence of gall stones. The gall bladder wall is not thickened. No pericolicystic fluid collection is noted.

A small cortical renal cyst is noted in the upper pole of the right kidney.

Both the visualized kidneys, pancreas, adrenals and spleen are otherwise normal.

There are no abnormally enlarged abdominal lymphnodes noted. There is no free fluid in the abdomen.

On the MRCP, the visualized hepatic ducts and cystic duct is normal in it's course and calibre. The common bile duct is well-visualized in it's entire course upto it's insertion into the duodenum and is of normal calibre (an apparent narrowing of the CBD is noted in its midsegment. This is due to a kink of the CBD at that level). There are no intrinsic lesions in the cystic and common bile ducts. The pancreatic duct
is visualized on the source images and is unremarkable. ..2/.





- 2 - scan-00002
IMPRESSION :

1. An approximately 3.0 x 2.5 cms sized mass lesion in the right lobe of the liver, posteriorly is not specific for a single etiology. This most likely represents a hemangioma.

2. Multiple gall bladder calculi.

3. The biliary tree shows no obvious intrinsic lesion on this study.