Presentation
Abdominal pain and jaundice. MRCP to exclude biliary stones.
Patient Data
Age: 25 years
Gender: Female
From the case:
Acute hepatitis
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Enlarged liver with periportal edema signal.
Diffuse gallbladder mural thickening and edema.
Mild abdominal ascites.
CBD and pancreatic ducts are within normal size with no obstructing lesions.
Case Discussion
In case of jaundice, MRCP might be used to assess for biliary stones, however, in many cases, the cause is secondary to acute viral hepatitis (hepatitis A virus). Radiological findings include hepatomegaly with periportal edema signal on T2 WI. Diffuse gallbladder mural thickening and edema.
Diagnosis is usually confirmed by laboratory workup with increased liver enzymes and PCR positive for hepatitis A virus.
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