Intravenous drug user attending with painless jaundice and hepatomegaly. Previous deep vein thrombosis. Deranged LFTs ?thrombus ?malignancy.
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There is severe gallbladder wall T2 hyperintensity in keeping with oedema, which compresses the mucosa of the gallbladder.
Cystic duct, CBD pancreatic duct are within normal limits with no obstructing lesions seen.
Marked high T2 signal is also demonstrated within the periportal spaces consistent with oedema.
Liver also appears slightly enlarged with recanalisation of the umbilical vein noted.
Overall findings suggestive of acute hepatitis and could account for the markedly deranged LFTs.
This case demonstrates markedly abnormal gallbladder wall and periportal oedema with a normal CBD. Appearances suggest an acute hepatitis. Full viral hepatitis screen was carried out and found to be negative. The patient then absconded from the ward.
- Robbins Basic Pathology: with STUDENT CONSULT Online Access, 9e. Saunders. ISBN:1437717810
- Chundru, S., Kalb, B., Arif-Tiwari, H., Sharma, P., Costello, J. and Martin, D.R. (2014) ‘MRI of diffuse liver disease: Characteristics of acute and chronic diseases’, 20(3).