EURORAD ESR

Case 86

Caroli's disease. US and MRCP findings.

Author(s)
N.Gandolfo, G.Serafini, N.G.Gandolfo, A.Beghello, G.Cavalleri
 
Patient
female, 51 year(s)
 
 
  • Figure 1
    Ultrasonography (US) of the liver
     

    Ultrasonography (US) of the liver performed in axial plane (5 MHz probe) shows multiple small rounded anechoic structures, corresponding to the saccular dilatations of the biliary tree (arrow heads). Associated...

     
    Area of Interest: unknown; Imaging Technique: Ultrasonography (US) of the liver;

    US of the liver performed with 7.5 MHz probe shows a small fibrovascular bundle along the wall of the cystic lesion (arrow).

     
    Area of Interest: unknown; Imaging Technique: Ultrasonography (US) of the liver;
     
     
  • Figure 2
    Magnetic resonance study of the liver
     

    Fast spin-echo (FSE) T2-weighted image [TRms/TEms = 4000/150] on axial plane. Multiple hyperintense cistyc lesions are seen in both lobes of the liver. The spleen is normal in size, and no signs of portal hypertension...

     
    Area of Interest: unknown; Imaging Technique: Magnetic resonance study of the liver;

    MR cholangiogram (MRCP) [TRms/TEms = 2000/700] obtained at slight coronal oblique projection from coronal acquisition using MIP reconstruction, shows the continuity of the cysts (arrow heads) with the biliary tree,...

     
    Area of Interest: unknown; Imaging Technique: Magnetic resonance study of the liver;

    MRCP shows multiple, diffuse intra hepatic cystic spaces associated with a normal main biliary duct.

     
    Area of Interest: unknown; Imaging Technique: Magnetic resonance study of the liver;
     
     
  • Figure 3
    Drawing of Caroli's disease

    Schematic drawing of type V choledochal cysts by Todani's classification

     
    Area of Interest: unknown; Imaging Technique: Drawing of Caroli's disease;
     
     
Ultrasonography (US) of the liver performed in axial plane (5 MHz probe) shows multiple small rounded anechoic structures, corresponding to the saccular dilatations of the biliary tree (arrow heads). Associated cholelitiasis (asterisk).
 
US of the liver performed with 7.5 MHz probe shows a small fibrovascular bundle along the wall of the cystic lesion (arrow).
 
Fast spin-echo (FSE) T2-weighted image [TRms/TEms = 4000/150] on axial plane. Multiple hyperintense cistyc lesions are seen in both lobes of the liver. The spleen is normal in size, and no signs of portal hypertension or polycystic kidney disease (not shown) were identify.
 
MR cholangiogram (MRCP) [TRms/TEms = 2000/700] obtained at slight coronal oblique projection from coronal acquisition using MIP reconstruction, shows the continuity of the cysts (arrow heads) with the biliary tree, the essential finding for the diagnosis of Caroli' s disease. No stones formation filling dilated iintrahepatic bile ductes. The arrow is poninting the gallbladder, with two stones in it.
 
MRCP shows multiple, diffuse intra hepatic cystic spaces associated with a normal main biliary duct.
 
Schematic drawing of type V choledochal cysts by Todani's classification
 
 
 
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