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Doctor insights on: Extrahepatic Biliary Ductal Dilation

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What causes pancreatic ductal dilation?

What causes pancreatic ductal dilation?

Pancreatic duct dila: This can happen in chronic panceatitis, or if there is a pancreatic neoplasm ( tumor) . Sometimes there are benign tumors in the duct that can eventually become malignant so it is important to check them out. Technically gallstones that are stuck at the spincter of Vater causing pancreatitis can result in pancreatic duct dilatation as can inflammation post ERCP. ...Read more

Dr. Jeffrey Kass
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Biliary (Definition)

Biliary means anything related to the production, storage, secretion, or flow of bile, whether in the liver, bile ducts, gallbladder, ...Read more


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Abdominal ultrasound demonstrated mild intra and extra hepatic biliary dilatation. CBD: 1cm. MRCP demonstrated no ductal dil but pancr enlargement?

 Abdominal ultrasound demonstrated mild intra and extra hepatic biliary dilatation.  CBD: 1cm.  MRCP demonstrated no ductal dil but pancr enlargement?

Pancreatitis: Mild ductal dilatation with a 1 cm. CD is mild. That there is pancreatic enlargement suggest probable inflammation. This would impinge on the CD as it passes to ampulla of duodenum. Farthest site ie mild duct enlargement fits picture. To R.O tumor a transduodenal ultrasound of pancreatic head would show a hidden lesion. Otherwise if needed, a PET/CAT could help. ...Read more

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What does diffuse dilatation of common bile duct & mild dilatation of hepatic ducts mean? Maximal luminal (phenobarbital) diam. of common is 14-15mm. MRI sched. Liver

What does diffuse dilatation of common bile duct & mild dilatation of hepatic ducts mean? Maximal luminal (phenobarbital) diam. of common is 14-15mm. MRI sched. Liver

Dilated bile duct: The bile duct is the duct the drains bile out of the river and into the intestines. Dilated bile duct can be a sign of pancreatic, bile duct, liver,or gallbladder disease. It is an important sign, and it definitely needs to be evaluated until a cause is identified and taken care of. Do not hesitate to get the MRI and follow up with your doctor on the results. Good luck. ...Read more

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CT Scan: "Liver is normal in morphology. Mild intrahepatic biliary duct dilatation. Normal common bile duct". Is this normal?

CT Scan: "Liver is normal in morphology. Mild intrahepatic biliary duct dilatation. Normal common bile duct". Is this normal?

Relatively normal: If the radiology report states normal morphology it is fairly certain there are no big worries. We do not know why the scan was ordered but mild intrahepatic biliary duct dilatation may be completely normal for this patient. The normal common bile duct finding means the liver, pancreas and gallbladder empty in to a normal duct that drains into the intestine. All good findings. Good luck. ...Read more

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What is treatment painful liver segment 7 subcapsular benign biliary cyst, dilated bile duct? 5cmx5cmx1.3cm. Past history lapchole with bile leak 2005

What is treatment painful liver segment 7 subcapsular benign biliary cyst, dilated bile duct? 5cmx5cmx1.3cm. Past history lapchole with bile leak 2005

Need further testing: even though you have had your gallbladder removed . you still can form stones within the common bile duct. which will cause billiary pain. Have your doctor check your liver function tests---if elevated do an ultrasound of the liver ...Read more

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Usg-fatty infiltration in liver.Both hepatic biliary ducts nrml, cbd nrml, no focal lesion.Mild acalculous gb wall thickening|meaning?My lft is normal.

Usg-fatty infiltration in liver.Both hepatic biliary ducts nrml, cbd nrml, no focal lesion.Mild acalculous gb wall thickening|meaning?My lft is normal.

Why was US done?: Fatty liver changes are not uncommon with the growing problem of obesity in the usa. For the most part, your us would be considered normal, and with normal lfts, i would only focus on the cause of fatty liver disease, either due to being overweight, being poorly controlled diabetic, consuming alcohol, excessive fat intake. Start with dietary changes in consultation with a dietician/nutritionist. ...Read more

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MRCP "Persistent mild dilation of the central intrahepatic duct. There are areas of mild narrowing & irregularity of the intrahepatic ducts & proximal common duct. No dilation of common bile duct. Gallbladder sludge is present." What causes this?

MRCP "Persistent mild dilation of the central intrahepatic duct. There are areas of mild narrowing & irregularity of the intrahepatic ducts & proximal common duct. No dilation of common bile duct. Gallbladder sludge is present." What causes this?

Nonspecific: I believe that the ductal findings are nonspecific. Sludge in the gall bladder can cause abdominal distress and indigestion. A gastroenterologist would sit down with the radiologist and review the images and decide whether more imaging studies like an MRI or liver biopsy are advisable depending upon your symptoms or lack of symptoms. ...Read more

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Status post cholecystectomy with prominent gastrohepatic common bile duct measuring 7mm means what?

Status post cholecystectomy with prominent gastrohepatic common bile duct measuring 7mm means what?

GallBladder: "Post- most often relates to "AFTER" and cholecystectomy to the surgical procedure to remove the gallbladder. Post-cholecystectomy = their has been surgical removal of the gallbladder. This term may be used in the patient history or as part of radiology reporting. The common bile duct diameter of 7mm is normal for your age. See http://www.ncbi.nlm.nih.gov/pubmed/21144686 for publication. ...Read more

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Elevated liver enzyme , mrcp indicated mild intrahepatic ductal dilatation, mild splenomegaly, normal ercp, what causes that, how it treated?

Elevated liver enzyme , mrcp indicated mild intrahepatic ductal dilatation, mild splenomegaly, normal ercp, what causes that, how it treated?

Inflammation: Ductal dilation can be obstructive or non obstructive. Causes of obstruction such as stones, stricture, tumor etc to be ruled out. Usually when not obstructed mild dilation can be related to inflammation or cholangitis. These inflammatory processes usually treated medically. ...Read more

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Bilateral lung nodules,Atelectasis prior papilloma thyroid CA.Pituitary Adenoma,Chiari Malformation,FMD,enlarged common bile duct no stones. Genetic?

Bilateral lung nodules,Atelectasis prior papilloma thyroid CA.Pituitary Adenoma,Chiari Malformation,FMD,enlarged common bile duct no stones. Genetic?

Maybe genetic: Probably should have genetic consult. Forinstance Chiari malformation, fibromuscular dysplasia, and thyroid cancer can be associated with neurofibromatosis. Lung nodules are non specific and can be from some infections but also metastatic disease sometimes from papillary thyroid cancer. You may want to consult a geneticist physician. ...Read more

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Will a nuclear hida scan show pancreatic stones or bile duct stones?

Will a nuclear hida scan show pancreatic stones or bile duct stones?

No: Hida scan is a functional exam to reveal if the bile duct is blocked by a stone or tumor. If blockage is suspected by the results, an MRI of the bile ducts (mrcp) is frequently the next step to visualize the blockage. ...Read more

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GB like symptoms.US-distal dilation of CBD 7.7mm.MRCP-mild prominence of pancreatic duct.Dense adhesions between GB & abdominal wall. Pls. interprete?

Need context...: ...for which your test was ordered. Also, your question is ideally & confidentially answered in the Concierge forum of HealthTap--would suggest you consider that route to your query. ...Read more

Dr. John Fung Dr. Fung
2 doctors agreed:
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What is the intrahepatic biliary radicles are not dilated?

Dr. John Fung Dr. Fung
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That is normal: Intrahepatic bile ducts are small ducts within the liver that collect bile from the liver cells and transport it into increasingly larger bile ductules that coalesce into a single bile duct, the common bile duct. Normally by ultrasound or body scans, only the larger bile ducts can be seen. If the intrahepatic bile ducts are dilated, it means there is a blockage downstream, which is abnormal. ...Read more

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What leads to obstructive jaundice(distal cbd obstruction) secondary to choledocholithias with cholangitis?

What leads to obstructive jaundice(distal cbd obstruction) secondary to choledocholithias with cholangitis?

Usually a gallstone: Usually a gallstone causing obstruction of the common bile duct can cause sudden painful jaundice, sometimes with associated cholangitis (infection of the bile) This requires drainage and extraction of the stone from the common bile duct with a procedure call ERCP. Other causes can be tumors causing obstruction, which is more often painless and gradual. ...Read more

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Biliary atresia treatment?

Kasai procedure: Biliary atresia is most often diagnosed in the neonates. The first line treatment is a surgical procedure called portoenterotomy (kasai) in which a loop of intestine is connected to the liver to act as a conduit for bile drainage in place of the missing bile ducts. The beneficial effects of this procedure, however, is often short-lived many children went on to require liver transplantation. ...Read more

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Upper Abdomen (Definition)

Draw a transverse line through the umbilicus and the upper abdomen includes every part of the belly above this line and below the ...Read more