hs/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyze Mulmn / M / 69 yrs.
Referred by : Dr. Abc Xyzlsara. Examination : M.R.Cholangiogram & M.R.I of Abdomen.
CLINICAL PROFILE : C/O pain in the abdomen since May 0000 which has increased since 2 months with fever and chills.
H/O weight loss +.
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 slight narrowing of the mid segment of the common bile duct.

There is mild dilatation of the common bile duct, left and right hepatic ducts and few of the biliary radicles distal to the aforementioned narrowing.

The pancreatic duct is well visualized and has a diameter of approximately 8.0 mms and this may be normal for the patients age.

There is a diffuse area of hyperintensity on the T2 Weighted images (hypointense on the T1 Weighted images) within the posterior segment of the right hepatic lobe.





Both the visualized kidneys, pancreas, adrenals and spleen are unremarkable.The gall bladder is well-distended and does not reveal any intrinsic abnormality.

There is a slight defect in the linea alba with slight extension of fat through it.
IMPRESSION :

The MRCP features are suggestive of :

1. Slight narrowing of the mid segment of the common bile duct which is of undetermined etiology (? neoplastic ? inflammatory ? extrinsic compression).

2. Altered signal within the posterior segment of the right hepatic lobe is of undetermined etiology.
3. Narrowing with mild dilatation of the common bile duct, left and right hepatic ducts and few of the biliary radicles distal to the aforementioned narrowing of the mid segment of the common bile duct.

4. An epigastric hernia.