sb/ke/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzi Mlmn / F / 35 yrs.
Referred by : Dr. Abc Xyzdi / Dr. Abc Xyzah. Examination : M.R.Cholangiogram.
CLINICAL PROFILE :
H/O open cholecystectomy done 3 years back for Gall stones. C/O abdominal pain since 12 days with vomiting (1 episode 10 days back).
EXAMINATION :
MR Cholangiogram was performed.
The abdomen was screened with 7 mm thick T1 Weighted and T2 Weighted axial images. 7 mm thick T2 Weighted coronal images.OBSERVATION :

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.Both the visualized kidneys, pancreas, adrenals and spleen are normal in size and shape.The gall bladder is not visualized, the result of previous cholecystectomy.

The MRCP reveals mild dilatation of the common bile duct (which measures approximately 1.2 cms in its maximum dimension) and the right and left hepatic ducts. There is tapering of the common bile duct in its distal portion towards the ampulla ? soft structure. No obvious intrinsic lesion is noted in the visualized biliary tree. The visualized proximal pancreatic duct appears normal.


IMPRESSION :

1. Post-cholecystectomy status.

2. Mild dilatation of the common bile duct and the right and left hepatic ducts as described could be due to a soft structure.