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Images:
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Case
Summary
Diagnosis: Choledocholithiasis
Clinical hints:
History differs from stones and cholecystitis. Need U/S for
diagnosis. ERCP useful for definitive diagnosis, biliary tree
roadmap, and treatment (tube drainage or stone removal). May
find underlying CBD stricture.
Radiological Pearls:
- stone(s) in CBD
- CBD may be dilated
- intrahepatic biliary tree dilated
- may see stones in gallbladder
Films were kindly provided by Dr. A. Zalev.
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