EURORAD ESR

Case 2945

A case of Mirizzi syndrome

Author(s)
Pratali A, Giannini A, Vagli P, Boraschi P, Bartolozzi C
 
Patient
female, 74 year(s)
 
 
  • Figure 1
    Computed Tomography
     

    Unenhanced CT scan demonstrates dilated intrahepatic bile ducts.

     
    Area of Interest: unknown; Imaging Technique: Computed Tomography;

    Unenhanced CT scan at a lower level shows a stone with a calcified rim impacted in the gallbladder neck .

     
    Area of Interest: unknown; Imaging Technique: Computed Tomography;

    In the portal-venous phase, CT image depicts the common hepatic duct compressed by the gallstone situated in the gallbladder neck.

     
    Area of Interest: unknown; Imaging Technique: Computed Tomography;

    At the pancreatic head, the common bile duct appears normal.

     
    Area of Interest: unknown; Imaging Technique: Computed Tomography;

    This MIP reconstruction shows the smooth narrowing of the common hepatic duct at the site of the impacted gallstone.

     
    Area of Interest: unknown; Imaging Technique: Computed Tomography;
     
     
  • Figure 2
    Magnetic Resonance Imaging
     

    T1-weighted image confirms the intrahepatic bile duct dilatation.

     
    Area of Interest: unknown; Imaging Technique: Magnetic Resonance Imaging;

    T1-weighted image shows the calculus impacted in the gallbladder neck.

     
    Area of Interest: unknown; Imaging Technique: Magnetic Resonance Imaging;

    T2-weighted fat-saturated image depicts clearly the dilatation of the intrahepatic bile ducts.

     
    Area of Interest: unknown; Imaging Technique: Magnetic Resonance Imaging;

    T2-weighted fat-saturated image shows the stone located in the gallbladder neck.

     
    Area of Interest: unknown; Imaging Technique: Magnetic Resonance Imaging;

    MRCP demonstrates the dilatation of the intrahepatic bile ducts and the smooth narrowing of the common hepatic duct at the site of the impacted gallstone. The common bile duct appears normal.

     
    Area of Interest: unknown; Imaging Technique: Magnetic Resonance Imaging;
     
     
Unenhanced CT scan demonstrates dilated intrahepatic bile ducts.
 
Unenhanced CT scan at a lower level shows a stone with a calcified rim impacted in the gallbladder neck .
 
In the portal-venous phase, CT image depicts the common hepatic duct compressed by the gallstone situated in the gallbladder neck.
 
At the pancreatic head, the common bile duct appears normal.
 
This MIP reconstruction shows the smooth narrowing of the common hepatic duct at the site of the impacted gallstone.
 
T1-weighted image confirms the intrahepatic bile duct dilatation.
 
T1-weighted image shows the calculus impacted in the gallbladder neck.
 
T2-weighted fat-saturated image depicts clearly the dilatation of the intrahepatic bile ducts.
 
T2-weighted fat-saturated image shows the stone located in the gallbladder neck.
 
MRCP demonstrates the dilatation of the intrahepatic bile ducts and the smooth narrowing of the common hepatic duct at the site of the impacted gallstone. The common bile duct appears normal.
 
 
 
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