Choledocholithiasis (MRCP)

Case contributed by Henry Knipe
Diagnosis almost certain

Presentation

Right upper quadrant pain. Abnormal LFTs.

Patient Data

Age: 50 years
Gender: Male
mri
This study is a stack
Axial
T2
This study is a stack
Axial
HASTE
This study is a stack
Coronal
HASTE
Thick
slab MIP
This study is a stack
MIP
This study is a stack
Radial
MIP
This study is a stack
Axial T1
in-phase
This study is a stack
Axial T1
out-of-phase
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Info

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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