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    JITESH

    Uploaded by

    Tarunendra Singh
    H1bc report

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    JITESH

    Uploaded by

    Tarunendra Singh
    5 views2 pages
    H1bc report

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    © © All Rights Reserved

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    PDF, TXT or read online from Scribd

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    H1bc report

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    5 views2 pages

    JITESH

    Uploaded by

    Tarunendra Singh
    H1bc report

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    Patient Name: JITESH SINGH Patient ID: 240C10696

    Ref. Phys: MEDICAAL COLLEGE Age & Sex: 30 Years M


    Report 15-Oct-2024 /09:22:51 PM Study 15-Oct-2024 05:47:15
    Date/time Date/time PM

    MR CHOLANGIOPANCREATOGRAPHY (MRCP) + UPPER ABDOMEN –PLAIN and Contrast


    Protocol:
    Multi-echo multi-planar MRI of the upper abdomen was performed on MR scanner, using
    torso coil. High resolution (submm slice thickness) MRCP was performed; using heavily T2
    weighted sequences in coronal and oblique coronal planes. Thick radial slab images were
    also obtained with various rotation angles.
    Observations:
     The liver is normal in size and has smooth margins. The hepatic parenchyma reveals normal
    signal intensity. No focal intrahepatic lesion is detected. The portobiliary radicles are normal in
    calibre and show normal distribution. The portal vein displays normal flow void and is normal in
    calibre.
     The gall bladder is well distended. No filling defects are seen within it to suggest presence of
    calculi. No mass lesion is detected. Its wall is normal in thickness and there is no pericholecystic
    fluid.
     The common bile duct is normal in calibre. No intraluminal filling defects are visualized. It is
    seen to taper smoothly in the region of the ampulla.
     Generalized atrophy of pancreas seen . Altered signal is dependent of the pancreatic parenchyma
    noted shows calcific foci on the limited CT sections.
     PD is dilated and tortuous in the entire extent maximum width measures 4.9 mm.
     Multiloculated thick walled hyperintense lesions are noted in the gastro-splenic space around the
    tail of pancreas and in perigastric space largest measure 18 x 10 mm Fat stranding and facial
    thickening noted around it. Few of the lesions are infiltrating in the splenic parenchyma.
     Suspicious separate opening of the major pancreatic duct and the CBD along medial duodenal
    wall noted..
     Visualized kidneys, spleen and adrenal glands appear normal in signal intensity.
     No significant lymphadenopathy or free fluid in abdomen.
    Patient Name: JITESH SINGH Patient ID: 240C10696
    Ref. Phys: MEDICAAL COLLEGE Age & Sex: 30 Years M
    Report 15-Oct-2024 /09:22:51 PM Study 15-Oct-2024 05:47:15
    Date/time Date/time PM

    Impression: MRI of Upper Abdomen and MRCP show

     Chronic pancreatitis changes with dilated PD with small chronic pseudocyst in the gastro-
    splenic and perigastric spaces as described above.
     Inflammatory changes in the gastro-splenic and perigastric space suggestive of sequelae
    of pancreatitis.
     Possibility of pancreatic divisum needs ERCP correlation.

    Dr.SANJAY S.MARAKWAD
    MD (Mumbai), FRCR (UK)
    Reg No 2003041709

    Investigations have their limitations. Solitary pathological/Radiological and other investigations never confirm the final diagnosis. Conclusion is markedly
    affected by input provided at that time .They only help in diagnosing the disease in correlation to clinical symptoms and other related tests. Please
    interpret accordingly.

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