Right upper abdominal pain, nausea and low-grade fever in a 79-year-old man with history of coronary heart disease and lung emphysema. Positive Murphy’s sign and mild jaundice at physical examination. Slightly raised laboratory inflammation markers, leukocyte count and serum bilirubin.
Urgent abdominal MRI with MR cholangiopancreatography (MRCP), requested to investigate clinical suspicion of acute cholecystitis with coexistent choledocholithiasis, was performed after the routine USS abdomen.


Unenhanced T1 MRI,T2 weighted MRI,coronal section of MRCP are given here.Identify the abnormalities?

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8 comments

  1. Anonymous Says:
  2. enlarged gall bladder due to choledocholithiasis and blockage of cystic duct

     
  3. Anonymous Says:
  4. vesicular hydrops

     
  5. Anonymous Says:
  6. inflammation of GB resulted from choledocolithiasis.

     
  7. f Says:
  8. liver transplantation is necessary

     
  9. badar Says:
  10. how to recognize inflammed or enlarged GB on it...anyone plz comment in details little.

     
  11. Doc F Says:
  12. normall thickness of a GB should be less than 3mm. if inflammed the outline should be real clear, and there are evidence of liths so cholecystitis would be the outcome from the blockage and repeated contraction of the GB over the stones.

     
  13. @ badar!!
    see the last image which is the MRCP coronal section slice through gall bladder!!
    here gall bladder shows hypo signal intestiy showing distension!!! see the size!! n there is no continuation with the cistic duct! thats means blockage. iin MRCP parts having high water content ie large no. of hydrogen proton shows hypo signal intesity since it is heavily T2 weighed image i.e. MRCP

     
  14. Hello, in case someone needs more information about hernia treatment or hernia homeremedies you can find it here

     

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