EURORAD ESR

Case 15538

Mirizzi syndrome

Author(s)
Dr. Aung Zaw Win

Joint Department of Medical Imaging,
University of Toronto,
Canada.

Email: azw7@yahoo.co.uk
 
Patient
male, 87 year(s)
 
 
  • Figure 1
    Unenhanced CT abdomen
     

    Axial projection showing an impacted gallstone in the gallbladder neck (yellow arrow).

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;

    Coronal projection showing an impacted gallstone in the gallbladder neck (yellow arrow) and intrahepatic biliary dilatation (green arrow).

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;

    Sagittal projection showing an impacted gallstone in the gallbladder neck (yellow arrow).

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
  • Figure 2
    Contrast-enhanced CT abdomen (Portal venous phase)
     

    Axial projection showing dilated intrahepatic bile ducts (green arrow).

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;

    Axial projection showing an impacted gallstone in the gallbladder neck (yellow arrow).

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;

    Axial projection showing dilated intrahepatic bile ducts (green arrow).

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;

    Coronal projection showing an impacted gallstone in the gallbladder neck (yellow arrow) and dilated intrahepatic bile ducts (green arrow).

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;

    Sagittal projection showing an impacted gallstone in the gallbladder neck (yellow arrow), a further gallstone in the gallbladder body, and thickening of the gallbladder wall (purple arrow).

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
  • Figure 3
    Pancreaticobiliary MRI including MRCP
     

    T2 HASTE MRI Coronal projection showing an impacted gallstone in the gallbladder neck (yellow arrow) and intrahepatic biliary dilatation (green arrow).

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;

    MRCP Radials showing an impacted gallstone in the gallbladder neck (yellow arrow) and intrahepatic biliary dilatation (green arrow).

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;

    T1 Dynamic VIBE MRI post-contrast (gadolinium) portal venous phase axial projection showing an impacted gallstone in the gallbladder neck (yellow arrow).

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;

    T1 Dynamic VIBE MRI post-contrast (gadolinium) portal venous phase axial projection showing intrahepatic biliary dilatation (green arrow).

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;

    T1 Dynamic VIBE MRI post-contrast (gadolinium) portal venous phase axial projection showing intrahepatic biliary dilatation (green arrow).

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
Axial projection showing an impacted gallstone in the gallbladder neck (yellow arrow).
 
Coronal projection showing an impacted gallstone in the gallbladder neck (yellow arrow) and intrahepatic biliary dilatation (green arrow).
 
Sagittal projection showing an impacted gallstone in the gallbladder neck (yellow arrow).
 
Axial projection showing dilated intrahepatic bile ducts (green arrow).
 
Axial projection showing an impacted gallstone in the gallbladder neck (yellow arrow).
 
Axial projection showing dilated intrahepatic bile ducts (green arrow).
 
Coronal projection showing an impacted gallstone in the gallbladder neck (yellow arrow) and dilated intrahepatic bile ducts (green arrow).
 
Sagittal projection showing an impacted gallstone in the gallbladder neck (yellow arrow), a further gallstone in the gallbladder body, and thickening of the gallbladder wall (purple arrow).
 
T2 HASTE MRI Coronal projection showing an impacted gallstone in the gallbladder neck (yellow arrow) and intrahepatic biliary dilatation (green arrow).
 
MRCP Radials showing an impacted gallstone in the gallbladder neck (yellow arrow) and intrahepatic biliary dilatation (green arrow).
 
T1 Dynamic VIBE MRI post-contrast (gadolinium) portal venous phase axial projection showing an impacted gallstone in the gallbladder neck (yellow arrow).
 
T1 Dynamic VIBE MRI post-contrast (gadolinium) portal venous phase axial projection showing intrahepatic biliary dilatation (green arrow).
 
T1 Dynamic VIBE MRI post-contrast (gadolinium) portal venous phase axial projection showing intrahepatic biliary dilatation (green arrow).
 
 
 
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