MRI
Coronal T2 Haste
Coronal T2 HASTE
Axial HASTE
MIP HASTE
There is mild prominence of right and left main hepatic duct and CBD which is measuring approximately 6 mm. There is a curvilinear cylindrical filling defect in the lumen of the CBD extending superiorly and reaching into the right main hepatic duct with maximum width of approximately 3 mm. Findings are compatible with a parasite, specifically a worm.
Mild periportal tracking noted in both lobes of liver, suggesting periportal edema / reactionary inflammatory changes. Significant atrophy noted in pancreatic parenchyma throughout its extent with mild prominence of pancreatic duct, suggesting changes secondary to chronic pancreatitis.
No lesion seen in liver or in kidneys.