sb/ke
Date : 00.00.00
Name of the Patient : Abc Xyza Galmn / F / 65 yrs.
Referred by : Dr. Abc Xyzhacker.
Examination : M.R.I. of the Abdomen.
CLINICAL PROFILE :
C/O pain in the abdomen with nausea and fever.
C/O jaundice since 1 month.
H/O cirrhosis with portal HT.
EXAMINATION :
M.R.I of the abdomen was performed using the following parameters:
8 mm thick T1 Weighted and T2 Weighted axial images.
6 mm thick STIR coronal images.
MRCP was also performed.
OBSERVATION :
The liver appears slightly shrunken and small in size. The margin of the liver appears slightly irregular. No focal or diffused signal alteration is noted in the hepatic parenchyma. There is no dilatation of the intrahepatic biliary radicles. The common bile duct shows normal calibre and measures approximately 6.0 mms in maximum transverse dimensions. No obvious intrinsic lesion is noted in the CBD.
The gall bladder is not well-identified on this study.
The pancreas is normal in bulk and signal intensity. The pancreatic duct is unremarkable.
The spleen and both adrenals are normal.
Both the kidneys show multiple cortical and parenchymal cysts.
No lymphadenopathy is detected. Mild ascites is noted in the perihepatic region.
IMPRESSION :
1. Small sized liver with nodular margin may suggest cirrhosis of liver.
2. Mild free fluid in the perihepatic region.
3. Multiple cortical and parenchymal renal cysts.
4. There is no dilatation of the intrahepatic biliary radicles or the common bile duct. No obvious intrinsic lesion is noted in the common bile duct.