MRI MRCP ABDOMEN WO CONTRAST while hospitalized in 2020
Narrative
PROCEDURE: MRI MRCP ABDOMEN WO CONTRAST

COMPARISON: None.

INDICATIONS: abnormal LFTs and RUQ abd pain

TECHNIQUE: Multiplanar and multiparametric images of the abdomen were obtained without intravenous gadolinium contrast. Magnetic resonance cholangiopancreatography was also performed.

FINDINGS:
LIVER: No focal liver lesion is seen. The liver is normal in size and signal.
BILIARY: As documented on previous CT there is evidence of cholelithiasis with gallbladder wall edema as well as edema extending into the hepatic hilum and portal triads. No dilatation of the intra or extrahepatic biliary ducts is seen in the common bile duct measures approximate 5 mm the pancreatic head. No filling defects are seen in the biliary tree area
PANCREAS: No cystic or solid pancreatic lesion. No pancreatic duct dilation.
SPLEEN: No focal splenic lesion is seen. The spleen is normal in size.
KIDNEYS: No suspicious renal lesion is seen. No hydronephrosis.
ADRENALS: No adrenal gland nodule or thickening.
AORTA/VASCULAR: No aneurysm or dissection.
RETROPERITONEUM: No lymphadenopathy.
BOWEL/MESENTERY: No bowel wall thickening or bowel dilation in the partially imaged bowel.
ABDOMINAL WALL: No hernia.
BONES: No suspicious osseous lesion.
LUNG BASES: No pleural effusion or consolidation.
OTHER: Negative.

CONCLUSION:
1. No evidence for biliary duct dilatation. Common bile duct is 5 mm with no filling defects.
2. Consistent with previous CT findings is contracted gallbladder with cholelithiasis and gallbladder wall edema as well as edema in the hepatic hilum and portal triads. This is suspicious for primary gallbladder inflammation and should be correlated clinically.
3. No evidence for pancreatic duct dilatation.
4. No other significant incidental findings.

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