FINAL DIAGNOSE CASE-21

Radiology case-21 FB and INSTA post Analysis

Patient Information:

  • Age/Sex: 65-year-old female
  • Clinical History: High-grade jaundice, loss of appetite, epigastric pain, vomiting

Examination:
CECT Whole Abdomen

Findings:

  1. Liver & Biliary System:


    • Enlarge liver with Intrahepatic biliary radicles (IHBR) are dilated.
    • Common bile duct (CBD) is significantly dilated, measuring approximately ___ mm.
    • A hyperdense calculus is noted within the distal CBD — suggestive of choledocholithiasis.
    • Gallbladder (GB) is overdistended, no obvious wall thickening or pericholecystic fluid noted.

  2. Pancreas:

    • Normal in size and enhancement. No focal lesion or peripancreatic fat stranding.

  3. Spleen, Adrenals, and Bowel Loops:

    • Appear unremarkable.

  4. Kidneys & Urinary System:

    • A small, simple cortical cyst is noted in the left kidney.
    • No hydronephrosis or renal calculi.

  6. Other Findings:

    • No ascites or lymphadenopathy detected.
    • No abnormal bowel wall thickening or obstruction seen.

Impression:

  • Choledocholithiasis with dilated CBD and IHBR – likely cause of obstructive jaundice.
  • Overdistended gallbladder – likely secondary to distal CBD obstruction.
  • Simple renal cyst (left kidney) – incidental finding.

Recommendation:

  • Correlate clinically and biochemically (LFTs).
  • Consider MRCP for confirmation and management of CBD calculus.
                             *********

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