sb/ke/rg.
Date : 00.00.00
Name of the Patient : Abc XyzDaslmn / F / 69 yrs.
Referred by : Dr. Abc Xyzdakia. Examination : M.R.Cholangiogram.
CLINICAL PROFILE :
C/O abdominal pain and vomiting since 2 days.
H/O pneumonia and Bronchitis. 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 seen mild dilatation of the common bile duct which measures approximately 1.3 cms in its maximum transverse dimensions. Mild dilatation of the common hepatic duct, right and left hepatic ducts is also noted. There is a abrupt cut off of the terminal common bile duct at the ampullary region. No obvious intrinsic lesion is noted in the terminal CBD.

The gall bladder is well distended and is folded upon itself. No intrinsic lesion is noted in the gall bladder. The pancreatic duct is not dilated.

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 signal intensity.
Minimal free fluid is noted in the abdomen. There are no abnormally enlarged abdominal lymphnodes noted.
R> IMPRESSION :

The MRCP features suggest mild dilatation of the common bile duct, common hepatic duct and the right and the left hepatic ducts as described with a well-distended gall bladder. The obstruction seems to be at the level of the terminal CBD.