Presentation
Jaundice.
Patient Data
Age: 70 years
Gender: Male
From the case:
Choledocholithiasis (MRCP and ERCP)
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/51084/annotated_viewer_json?iframe=true\u0026lang=us"}
Cholelithiasis with choledocholithiasis. Common bile duct is dilated measuring 13 mm with mild intrahepatic duct dilatation. Phrygian cap. Simple liver segment 6 liver cyst.
From the case:
Choledocholithiasis (MRCP and ERCP)
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/51086/annotated_viewer_json?iframe=true\u0026lang=us"}
Multiple filling defects with the common bile duct in keeping with choledocholithiasis.
Case Discussion
MRCP is used as a non-invasive method of confirming choledocholithiasis or investigating those with biliary dilatation. Ultrasound is still the first-line screening modality. ERCP can be used for diagnosis but is usually reserved for treatment given the relatively high rate of complications (namely post ERCP pancreatitis).