Choledocholithiasis

Discussion:

This case shows multiple CBD stones and cystic duct stump stones, coupled with mild intra-hepatic biliary back pressure changes, a long period after cholecystectomy. MRCP (MRI cholangiopancreatography) is non-invasive MRI study of the biliary tracts. It has largely replaced ERCP as the gold standard for diagnosis of choledocholithiasis. It has the advantages of having no ionizing radiation, no intravenous contrast or complication rate inherent in ERCPs. 3D reconstruction of heavy T2 sequence gives easy examination of the biliary system from different views.

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