Doctor insights on:
What are the chances an ultrasound, Mri/mrcp, ercp, and ct scans or imaging miss advanced liver cancer?
If it is tailored: For liver mass, and technically adequate(i.e. no artifacts that might obscure anatomy), it would be nearly impossible to miss a large liver tumor. ...Read more
Magnetic resonance cholangiopancreatography (mrcp) uses a strong magnet to obtain images of the biliary and pancreatic ducts. It is an alternative to the more invasive endoscopic retrograde cholangiopancreatography (ERCP) done with an endoscope. Mrcp can be used to visualize gallstones, bile duct narrowing and the structures surrounding the bile ducts. ...Read more
Fluctuating lipase numbers, negative mrcp, ercp, CT scan. Numbers mainly normal but sometimes elevated for no reason. Lung cancer?
Not likely: Elevated lipase does not suggest lung cancer.If amylase is normal and all the tests you describe are normal.What that means is you do not have gall bladder disease, pancreatitis .If lipase is elevated sometimes only i will not worry follow up with your doctor/gi specialist. ...Read moreSee 2 more doctor answers
MRCPs ok, each ERCP(x3)found severe abnormalities in pancreas. Treated & now symptomatic. Y cant they c the problems unless they go in? 26f 5'8 115
Complex problem: sounds like a complex problem, if you've required three ERCP's and an MRCP to help diagnose it. Without more information on what was actually found during the ERCP's, it is difficult to comment further about what could be going on. I would return to your gastroenterologist for better explanations, or post more results here if you have them. Good luck. ...Read more
Do stones not show up on MRCP sometimes? Is it hard to see intrahepatic stones on MRCP? Should I have ERCP done since MRCP showed nothing?
Intrahepatic stones.: The answer mostly depends on why your doctor feels there may be Intrahepatic stones and what kind of symptoms you are having. If asymptomatic, the better answer may be to not do anything. An ERCP may show stones better than an MRCP, but the ERCP is not without the risk of potentially bad complications. Your G.I. doctor can help you balance these considerations. Good luck. ...Read more
MRCP showed biliary stricture. No mass etc. Now having a ERCP. Afraid of biliary cancer. How common?
Low likelihood: Since the mrcp didn't show any mass there is a low likelihood of there being a biliary tract tumor. In my experience biliary strictures are not usually associated with cancer, but your gastroenterologist is much better qualified to answer your question. ...Read moreSee 1 more doctor answer
Is an mrcp or and a abdomanal ultrasound as good as an ercp to show bile duct blockage? Im trying to cut cost.
Not really: Though mrcp and us are good tests, and can show common bile duct abnormalities, the gold standard is ercp, which is an endoscopic catherization and dye study of the bile duct. Not only is this the best image, albeit more invasive, it is also the method of removing intraductal stones at the same time. Or, if necessary, brushings of ductal tumors can be done. Discuss this in detail with your doctor. ...Read more
For years fluctuating elevated lipase (1-2x out of range to normal, sometimes mild) normal amylase. Ct & mrcp normal. No pain or nausea. Gastro says benign, wont approve eus or ercp. 2nd opinion?
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
Tube inserted orally or nasally, down esophagus, through stomach to duodenum, then slight turn into the commond duct so that a pictures can be taken and/or contrast injected into the ductwork to see if there are blockages of the common duct (from gall bladder) or ...Read more