Cholelithiasis and choledocholithiasis

Case contributed by Bahman Rasuli
Diagnosis certain

Presentation

RUQ pain and jaundice.

Patient Data

Age: 75 years
Gender: Female

Dilatation of the intrahepatic and extrahepatic biliary ducts is seen (common bile duct 12 mm).

There is a 13 mm signal void filling defect (stone) within the common bile duct pancreatic segment.

Distended gallbladder containing sludge, tiny signal void stones, and a 15 mm signal void larger stone.

Renal cortical cysts are seen on the left side.

Case Discussion

Findings are consistent with cholelithiasis with choledocholithiasis and biliary duct dilatation.

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