-No hepatic mass. Mild dilatation of right intrahepatic duct and moderate dilation of left intrahepatic ducts. Enhancing wall of left intrahepatic ducts. Dilatation of CHD and CBD Marked dilatation of proximal CBD (1.7 cm) but tapering at distal CBD. No obvious mass nor stone at distal CBD. Distended gallbladder No gallstone
-Normal appearance of spleen, pancreas. Normal size of both kidneys with few small renal cycts
-No ascites No enlarged node. Bilateral basal lung are clear.
Impression: Dilatation of intrahepatic ducts and CBD but no detected cause of obstruction could be due to chronic cholangitis. DDx: small lesion at distal CBD or ampulla, but less likely.
Suggestion: ERCP: Alternative choice: Follow-up ultrasound nor CT abdomen
( depend on high or low clinical suspicion of biliary obstruction )
ใครรู้ช่วยแปลหน่อยคับ
-Normal appearance of spleen, pancreas. Normal size of both kidneys with few small renal cycts
-No ascites No enlarged node. Bilateral basal lung are clear.
Impression: Dilatation of intrahepatic ducts and CBD but no detected cause of obstruction could be due to chronic cholangitis. DDx: small lesion at distal CBD or ampulla, but less likely.
Suggestion: ERCP: Alternative choice: Follow-up ultrasound nor CT abdomen
( depend on high or low clinical suspicion of biliary obstruction )