techique ; protocol of the upper abdomen with contrast and MRCP study
finding: The study reveals mild parenchyMatous liver changes.
Noted irregular dilated of IHD involving both lobes liver,suppose to be ill defined obstructive lesion about hilar region about 2.9*2.5 cm.
Noted distal CBD about 0.6 cm.
Noted gall bladder contrian sludge.
Additionnal MRCP reveals irregular dilated of IHD involving both lobes liver.Noted small amount of ascites.Unremarkable of the pancreatic bed region. Noted paraaortic node about 1 cm. at about left renal hilim region. Noted excretion of contrast in both kidneys size about 10.4*4.7 cm on the right side and 9.5*5.5 cm on the left side. Unremarkable about the visible adrenal bed region.Noted mild degenerative spine changes.
Impression; Evidence of hilar type CHCA with ill defined mass lesion about hilar region causing biliary obstruction with irregular dilated of IHD involving both lobes liver.Noted paraaortic node about left renal nilum as described.Noted small amount of ascites.