FINAL DIAGNOSE CASE-31
Radiology case- 31 ( FB and INSTA) POST ANALYSIS
Patient Clinical History:
Patient presents with pain in right hypochondriac region and loss of appetite.
Examination:
CECT Whole Abdomen (Coronal sections)
Findings:
-
Gallbladder:
- Presence of multiple hyperdense calculi within the gallbladder lumen.
- Findings are consistent with cholelithiasis.
- No obvious signs of gallbladder wall thickening or pericholecystic fluid to suggest acute cholecystitis.
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Common Bile Duct (CBD):
- The CBD is dilated (as marked in image).
- No definite intraluminal hyperdense calculus seen on this section; however, possible distal obstruction or choledocholithiasis cannot be ruled out.
-
Liver and Intrahepatic Biliary Tree:
- Mild intrahepatic biliary radicle dilatation may be present secondary to distal biliary obstruction.
-
Kidneys:
- A well-defined, non-enhancing, fluid-attenuation lesion is seen in the right kidney cortex – suggestive of a simple renal cyst.
- No hydronephrosis, renal calculi, or suspicious masses noted.
-
Pancreas, Spleen, Adrenals, and GI Tract:
- Appear normal in the visualized sections.
- No obvious mass or lymphadenopathy seen.
-
Urinary Bladder and Pelvic Organs:
- Appear unremarkable.
- No free fluid or abnormal pelvic mass detected.
Impression:
- Cholelithiasis
- Dilated Common Bile Duct – likely due to distal obstruction; clinical correlation and further evaluation (e.g., MRCP or ERCP) may be considered to rule out choledocholithiasis.
- Simple cyst in right kidney – benign, no clinical concern.
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