Question 530
{"accessible":true,"alternatives":[{"id":2657,"text":"choledocholithiasis"},{"id":2660,"text":"double duct sign"},{"id":2661,"text":"duplicated common bile duct"},{"id":2659,"text":"pancreatic divisum"},{"id":2658,"text":"type 1 choledochal cyst "}],"archived":false,"correctAlternativeId":2659,"explanation":"\u003cp\u003eThe main pancreatic duct can be seen to enter the duodenum at the minor papilla above and\u0026nbsp;separate to the common bile duct (CBD) entry at the major papilla\u0026nbsp;in keeping with pancreatic divisum. \u0026nbsp;No definite stone is seen within the CBD and there is no fusiform dilatation of the CBD\u0026nbsp;to indicate type 1 choledochal cyst. There is no co-existent CBD and pancreatic duct dilatation to warrant\u0026nbsp;a double duct sign. The common bile duct is not duplicated. \u0026nbsp;\u003c/p\u003e","id":530,"imageUrl":"https://prod-images-static.radiopaedia.org/multiple_choice_questions/853/images-for-mcqs-2_big_gallery.jpeg","imageAttribution":{"kind":"case","rID":44674},"imageAttributionCaseInfo":{"title":"Pancreatic divisum","contributor_name":"Chad Wong","contributor_param":"chazz298","case_rid":44674,"case_param":"pancreatic-divisum-4"},"firstQuestionPath":"/questions/2404","nextQuestionPath":"/articles/choledocholithiasis/questions/416","relatedArticles":[{"id":12564,"title":"Double duct sign","link":"/articles/double-duct-sign?lang=us"},{"id":1115,"title":"Choledochal cyst","link":"/articles/choledochal-cyst?lang=us"},{"id":18365,"title":"Pancreas divisum","link":"/articles/pancreas-divisum?lang=us"}],"alsoUsedIn":[],"stem":"\u003cp\u003eA 75 year old woman with epigastric pain has been assessed with\u0026nbsp;MR cholangiopancreatography (MRCP). Which of the following is seen?\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/530"}],"attemptsPercentages":[{"alternativeId":"2657","percentage":9},{"alternativeId":"2661","percentage":8},{"alternativeId":"2658","percentage":9},{"alternativeId":"2659","percentage":44},{"alternativeId":"2660","percentage":29}],"promptToLogin":false,"questionManager":false,"articleId":"choledocholithiasis"}