Presentation
Right hypochondrial pain, jaundice and itching of 1 week duration
Patient Data
Age: 75 years
Gender: Male
From the case:
Choledocholithiasis and biliary obstruction
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Axial T2
A large stone returns low signal in all pulse sequence is seen impacted at the distal segment of CBD causing proximal dilatation of the CBD and intra hepatic biliary radicals
Diagnosis: CBD stone with proximal biliary obstruction
Case Discussion
Other DD of obstructive jaundice include periampullary carcinoma, cholangiocarcinoma and pancreatic head cancer.