ke/sb/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzbai Chaudlmn / F / 52 yrs.
Referred by : Dr. Abc Xyzdeo. Examination : M.R.Cholangiogram.
CLINICAL PROFILE : C/O pain in the abdomen since 1 month.
C/O jaundice since 1 month.
EXAMINATION :
MR Cholangiogram was performed. 7 mm thick T1 Weighted and T2 Weighted axial images. 8 mm thick T2 Weighted coronal images.OBSERVATION :
There is dilatation of the intrahepatic biliary radicles in the right and left lobe of liver. There is smooth tapering at the junction of the right and left hepatic duct with the common hepatic duct. A hypointense area is seen at the level of bifurcation on the T2 Weighted images. The distal portion of the common bile duct is well visualized and appears normal.

The gall bladder is small and contracted. Few hypointense areas are noted within the gall bladder on the T2 Weighted images which would represent calculi. The cystic duct is unremarkable.

There is mild hepatomegaly. There is no local or diffuse area of altered signal intensity.

Both the visualized kidneys, pancreas, adrenals and spleen are normal in size and signal characteristics.The visualized pancreatic duct is unremarkable.
There is no free fluid in the abdomen.


IMPRESSION :

The MRCP features suggest intrahepatic biliary radicle dilatation with obstruction at the level of the common hepatic duct.

A stricturous lesion is a likely possibility.

A neoplastic lesion cannot be entirely ruled out.