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Cholelithiasis and choledocholithiasis

Case contributed by Bruno Di Muzio
Diagnosis certain

Presentation

RUQ pain and deranged LFT's. Ultrasound has shown gallstones but no features to support cholecystitis. also, prominent common bile duct with obscured distal portions.

Patient Data

Age: 60 years
Gender: Female

T2 Haste images as per MRCP protocol showing multiple small stones filling the distal common bile duct (CBD) and the gallbladder. 

Case Discussion

Exaggerated appearances of multiple stones within the distal common bile duct (CBD) and also within the gallbladder, which are called choledocholithiasis and cholecystitis, respectivelly. 

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