ke/sb
Date : 00.00.00

Name of the Patient : Abc XyzMurulmn / M / 64 yrs.
Examination : M.R. Cholangiogram.

CLINICAL PROFILE :

C/O jaundice.

EXAMINATION :

The upper abdomen was scanned with 7 mm thick T1 Weighted and T2 Weighted axial images and 8 mm thick T2 Weighted coronal images.

MR cholangiogram was also obtained.

OBSERVATION :

There is a large hypointense lesion within the terminal portion of the CBD which measures approximately 1.8 x 1.5 cms. on the T1 Weighted images which is seen to remain so on the T2 Weighted images and would represent a calculus. A similar but smaller lesion is seen just superior to the above mentioned stone. There is dilatation of the common bile duct which has a its maximum diameter of 1.3 cms. There is slight dilatation of the right and left hepatic ducts.

A hypointense lesion is seen on the T2 Weighted images having a diameter of 8.0 mm in the region of the Hartmanns pouch on all the pulse sequences and would represent a stone. A very small, similar lesion is seen in the neck of the gall bladder. A suspicious small calculus is noted in the common hepatic duct.

The gall bladder is well-distended and shows normal wall thickness. There is no fluid collection in the gall bladder fossa.

There is slight prominence of the intrahepatic biliary radicles.

The pancreatic duct is well-visualized and there is a suggestion of ? anamolous origin of the pancreatic duct.


Cortical renal cysts are noted in the left kidney. The right kidney is unremarkable.

The liver, spleen and the adrenal glands are unremarkable.

There are no abnormally enlarged abdominal lymph nodes or free fluid noted.

IMPRESSION :

1. A large calculus within the terminal portion of the CBD measuring approximately 1.8 x 1.5 cms. with a smaller calculus just superior to this lesion.

2. Dilatation of the common bile duct having a maximum diameter of 1.3 cms. Mild dilatation of intrahepatic biliary
radicles and right and left hepatic ducts is also noted.

3. A stone having a diameter 8.0 mm in the region of the Hartmanns pouch and a similar smaller lesion in the neck of the gall bladder.