MRI - MRCP
The gallbladder shows diffuse wall thickening and two related perforations, one intrahepatic through gall bladder bed with related intrahepatic collection measuring 4 x 2 cm and the other collection is anteriorly at the left infrahepatic space measuring 4.8 x 2.5 cm, anterior to the pancreatic head and CBD abutting the pylorus, 1st and 2nd parts of duodenum, surrounded by mild perifocal oedema. No current evidence of cholecystoenteric fistulation.
The common bile duct is dilated reaching 11 mm with distal end stone measuring about 1.2 x 0.6 cm with associated moderate intrahepatic biliary radicals dilatation. The common bile duct is gently splayed by the infrahepatic collection.
Incidentally noted left hypochondrial abdominal wall lipoma expanding the fibres of the left external oblique muscle representing intramuscular lipoma.