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Doctor insights on: Intrahepatic Bile Duct Dilatation

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Dr. Larry Eastburn Dr. Eastburn
Family Medicine
20 years in practice
Saba University School of Medicine (coursework from 1/1/02 to present)
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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.

Dr. Scott Keith
1 Doctor shared a insight

Biliary (Definition)

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


Dr. Donald Colantino Dr. Colantino
Internal Medicine
57 years in practice
Tufts University School of Medicine
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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.

Dr. Andrew Seibert Dr. Seibert
Internal Medicine - Gastroenterology
31 years in practice
University of Louisville School of Medicine
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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.

Dr. Carlos Encarnacion Dr. Encarnacion
Internal Medicine - Oncology
31 years in practice
University of Puerto Rico School of Medicine
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Is there a connection between cancer and bile duct dilation?

Is there a connection between cancer and bile duct dilation?

Yes: Biliary duct dilatation at different levels can result from obstruction caused by cancer in the pancreas, biliary duct, liver, or regional lymph nodes. Dilatation does not cause the cancer, though, it is the opposite. See?

Dr. Dean Giannone Dr. Giannone
Internal Medicine
21 years in practice
State University of New York Downstate Medical Center College of Medicine
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...2cm shadowing stone in the fundus. No pericholecystic fluid seen. No biliary ductal dilation seen, the common bile duct measures 5 mm. Meaning?

Gallstone: It seems like you have a gallstone sitting in there, not really doing anything. It’s not causing an infection. It’s not blocking the passage of bile. But it could. If it decides to move, that 20mm stone won’t pass out through that 5mm common bile duct. You may want to at least have a general surgeon aware of this.

Dr. Raymond Schneider Dr. Schneider
Family Medicine
42 years in practice
Kansas City University of Medicine and Biosciences College of Osteopathic Medicine
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With a lesion already identified, bile duct dilation and pain, does this sound malignant? Total beta hCG is high, monocytes-1.1. Anion gap-10

With a lesion already identified, bile duct dilation and pain, does this sound malignant? Total beta hCG is high, monocytes-1.1. Anion gap-10

Possibly: Hcg elevates in germ cell tumors and pregnancy. You did not mention a location for the "lesion" perhaps you are just pregnant and have a stone stuck in the biliary tract. If you are positive you are not pregnant, then I would be concerned about possible malignancy.

Dr. Clarence Grim Dr. Grim
Internal Medicine - Endocrinology
53 years in practice
University of Missouri-Columbia School of Medicine
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Diagnosed & hospitalized Apr-2 through Apr. 6 w/pyelonephritis, common bile duct dilation, dehydration, metabolic acidosis, renal cyst. Still in pain!

Diagnosed & hospitalized Apr-2 through Apr. 6 w/pyelonephritis, common bile duct dilation, dehydration, metabolic acidosis, renal cyst. Still in pain!

And pain: 55F DC from Hosp after pyelonephritis, bile duct dilation etc. Notes still in pain. Sorry about the pain you are having. You were very ill I suspect. But do you have a question? Your health care team there knows more about you than you can tell us. Therefore recommend if you have a question. You ask them.

Dr. John Powelson Dr. Powelson
Surgery - Transplant
31 years in practice
Boston University School of Medicine
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I have elevated liver enzyme ast (sgot)412 ALT (sgpt) 317 GGT 186 dilation of the common bile duct 1 CM no gallbladder?

I have elevated liver enzyme ast (sgot)412 ALT (sgpt) 317 GGT 186 dilation of the common bile duct 1 CM no gallbladder?

Liver issue: Enzymes ast and alt are inside liver cells. When liver is injured by disease or medication, enzymes leak out, resulting in elevation. Can be due to many reasons, including medications like statins. An elevated GGT suggest biliary problems, but is not that specific. The normal common bile duct measures less than 0.8 cm, but after the gb is removed, can be 1cm. Complete history needed for this.

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Dr. Andrew Doe Dr. Doe
Radiology - Interventional
16 years in practice
State University of New York Upstate Medical University
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Dr. Donald Colantino Dr. Colantino
Internal Medicine
57 years in practice
Tufts University School of Medicine
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Minimal dilatation of the left sided intrahepatic ducts. A thin silver of fluid is seen around the liver. Please advice what it means? Is this Normal?

Minimal dilatation of the left sided intrahepatic ducts. A thin silver of fluid is seen around the liver. Please advice what it means? Is this Normal?

Radiologist: In situations like this your physician should sit down with the radiologist who interpreted your study and get an impression of what possibilities the findings suggest and whether further imaging studies or repeat study in the future is recommended. This is truly a matter for a radiological specialist and a referral to a gastroenterologist may be recommended also.

Dr. Gerald Mandell Dr. Mandell
Nuclear Medicine
48 years in practice
Jefferson Medical College of Thomas Jefferson University
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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.

Dr. Joseph Woods Dr. Woods
Pathology
24 years in practice
State University of New York Upstate Medical University
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What causes intrahepatic ductal dilation w/ focal narrowing @ rt. Hepatic duct? Lft's: ast:853, alt:710, alp:173 fatigue, vomiting, fever, itching. Gb removed 2010, NASH st. 2, gr.2, gastric byp. 2011

What causes intrahepatic ductal dilation w/ focal narrowing @ rt. Hepatic duct? Lft's: ast:853, alt:710, alp:173 fatigue, vomiting, fever, itching. Gb removed 2010, NASH st. 2, gr.2, gastric byp. 2011

Hard to say,,: It looks like, from your history, that you've had a great deal of issues. Your gallbladder being removed may have, at least in part, been due to gallstones which would explain a lot of the bile duct situation. Gastric bypass also has complications. But your liver also has something going on now that you need to see your doctor soon to find the cause and treat before it gets worse. Good luck.

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Dr. Edgar Mendizabal Dr. Mendizabal
Internal Medicine
51 years in practice
Greater Bolivian University of San Andres
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I had a CT and it said I have a 1-cm cyst in my left liver lobe and central intrahepatic biliary tree dilatation should I worry?

I had a CT and it said I have a 1-cm cyst in my left liver lobe and central intrahepatic biliary tree dilatation should I worry?

No: Liver cysts do not usually require treatment. The dilatation might be secondary to your cholecystectomy.

Dr. Ankush Bansal Dr. Bansal
Internal Medicine
13 years in practice
Creighton University School of Medicine
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What can cause a enlarged bile duct?

Blockage: This is usually due to a blockage downstream from the duct like a stone. You should have your blood levels checked and an ultrasound done to rule out stones which can cause other problems in the future.

Dr. Andrew Seibert Dr. Seibert
Internal Medicine - Gastroenterology
31 years in practice
University of Louisville School of Medicine
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Will a collapsed bile duct always remain collapsed?

Will a collapsed bile duct always remain collapsed?

No: With adequate bile flow, a collapsed bile duct will open up sufficiently.

Dr. Michael Sparacino Dr. Sparacino
Family Medicine
33 years in practice
A. T. Still University Kirksville College of Osteopathic Medicine
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Dr. Mankanwal Sachdev Dr. Sachdev
Internal Medicine - Gastroenterology
18 years in practice
North Maharashtra University Sri Bhausaheb Hire Government Med Coll
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Can you get benign tumours in the bile duct?

Can you get benign tumours in the bile duct?

Yes: But these are rare, usually the tumor presents as a cause of a blocked bile duct. The fear is always malignancy, and then we find benign after surgery. Its best to see a gastroenterologist who does eus, and a hepatobiliary surgeon.

Dr. Mark Hoepfner Dr. Hoepfner
Surgery
35 years in practice
University of Washington School of Medicine
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Can any blockage in the bile duct cause pain?

It might: Sudden onset of bile blockage with gallstones may cause pain. Slow bile duct blockage from a tumor may not cause pain. Both will result in yellow jaundice and abnormal blood tests.

Dr. Michael Dugan Dr. Dugan
Internal Medicine - Hematology
years in practice
Indiana University School of Medicine
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What and wher is your cbs located "common bile duct "?

The common: Bile duct is formed by the coming together of the bile duct from the liver and the bile duct from the gallbaldder. It ends in the small bowel.

Dr. Vivek Huilgol Dr. Huilgol
Internal Medicine - Gastroenterology
31 years in practice
The Flinders University of South Australia
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What should be done with a dilated bile duct?

MRCP...: This version of the MRI exam has become my 'go to exam' of choice once this has been identified. This can be serious and does need further evaluation...

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


Duct (Definition)

Is a channel leading from a gland or an organ, for example lactiferous duct leads from mammary gland to ...Read more