Mar 23, 2011 -
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I thought I was getting some answers until I got my MRCP (another form of an MRI but more technical for abd. pain. Now I'm even more uncertain and more worried now. Does anyone have any ideas as to what this means? Thanks!
FINDINGS:The Extrahepatic bile ducts are mildly dilated for the patients age,
with the common hepatic duct messuring up tp 9mm on a series 10 image 9.
There is also mild prominence of the central intrahepatic duct. No intraductal
filling defects are seen. The pancreatic duct is nondilated and pancreatic duct is
nondilated and the pancreatic ductal anatomy appears classic. There is a
duodenal diverticulum seen just anterior to the to the distal common bile duct
adjacent to the pancreatic head. The gallbladder is normal in appearance with no
gallbladder stones seen.
In the inferior right hepatic lobe is am 8mm T2 hyperintense lesion which is not
fully characterized best seen on the M.R.C.P. images, tiny foci of markedly
bright T2 signal likely representing hepatic cysts seen in the liver dome,laeral
left hepatic lobe,and in the more inferior left hepatic lobe. These measure 3 to 4
mm in diameter. No focal pancreatic lesions are seen on this noncontrast study.
The spleen, adrenal glands, and kidneys are normal. There is a rectus diastasis
and evidence of a prior midline surgical incision with probable mesh repair, not
fully imaged.
IMPRESSION:
1) Mild biliary ductal of unclear etiology. No evidence of choledocholithiasis or
cholecystics. Suggest correlation with liver function studies.
2) Duodenal diverticulum seen just anterior to the to the distal common bile duct
adjacent to the pancreatic head.
3) nonspecific T2 hyperintense lesion in the inferior right hepatic lobe. The
absence of any history of malignancy. this is likely to represent a hemangioma.
Several tiny hepatic cysts are incidentlly noted.
4) Rectus diastasis with the probable prior mesh repair of the anterior
abdominal wall.