Presentation
Jaundice.
Patient Data
Cholelithiasis with choledocholithiasis. Common bile duct is dilated measuring 13 mm with mild intrahepatic duct dilatation. Phrygian cap. Simple liver segment 6 liver cyst.
Multiple filling defects with the common bile duct in keeping with choledocholithiasis.
Case Discussion
MRCP is used as a non-invasive method of confirming choledocholithiasis or investigating those with biliary dilatation. Ultrasound is still the first-line screening modality. ERCP can be used for diagnosis but is usually reserved for treatment given the relatively high rate of complications (namely post ERCP pancreatitis).