Presentation
Abdominal pain.
Patient Data
Age: 80 years
Gender: Female
From the case:
Choledocholithiasis
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Intra and extrahepatic bile ducts are dilated and CBD measured 15 mm in caliber. A 10 mm low signal filling defect is present at distal third of CBD inferring stone.
A 48mm parapelvic cyst is present at right kidney.
Case Discussion
Magnetic resonance cholangiopancreatography (MRCP) has largely replaced ERCP as the gold standard for diagnosis of choledocholithiasis, able to achieve similar sensitivity (90-94%) and specificity (95-99%) without ionizing radiation, intravenous contrast, or the complication rate inherent in ERCP.
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