Choledocholithiasis (MRCP)

Case contributed by Henry Knipe
Diagnosis almost certain


Right upper quadrant pain. Abnormal LFTs.

Patient Data

Age: 50 years
Gender: Male

Cholelithiasis. No mural thickening, pericholecystic fluid or other evidence of acute cholecystitis. Extrahepatic biliary dilatation, common bile duct measures 0.9 cm. Two filling defects lying dependently in the distal common bile duct compatible with choledocholithiasis. 

Case Discussion

Typical appearance of cholelithiasis complicated by choledocholithiasis. 

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