sb/hs/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyza S. Shilmn / F / 10 yrs.
Referred by : Dr. Abc Xyzdeo. Examination : M.R.Cholangiogram.
CLINICAL PROFILE :
C/O abdominal pain since 20 days.EXAMINATION :
MR Cholangiogram was performed. 7 mm thick T1 Weighted and T2 Weighted axial images. 7 mm thick T2 Weighted coronal images.OBSERVATION :
There is evidence of fusiform dilatation of the common bile duct (CBD) which measures approximately 2.7 cms in its maximum transverse dimension. The CBD is seen to taper at its terminal end. An inclusion defect is noted at the terminal end of the CBD, which is hypointense on the T2 Weighted images and most likely represents a calculus. The gall bladder is well distended and shows multiple calculi within its lumen. The cystic duct is not well identified. Mild dilatation of the common hepatic duct and the left and right hepatic ducts is noted. Minimal dilatation of the intrahepatic biliary radicles is identified.

The liver parenchyma shows no focal area of altered signal.
Both the visualized kidneys, pancreas and spleen are normal in size and shape.
IMPRESSION :

The MRCP features are suggestive of fusiform dilatation of the common bile duct with mild dilatation of the right and left hepatic ducts and common hepatic duct. A choledochal cyst is a likely possibility. A calculus is noted at the terminal end of the common bile duct. The gall bladder also shows multiple calculi.