CBD is prominent,measuring approx 8.2 mm in size. WHAT DOES IT MEAN

[MKS2k14]

The report says.....
ULTRASOUND FOR UPPER ABDOMEN

LIVER is normal in size and echotexture. No focal mass lesion or IHBR dilatation seen.

GALL BLADDER is well distended with normal wall thickness. Two calculi, measuring approx ~ 16 mm and 14 mm in size are seen in the lumen.

CBD is prominent,measuring approx 8.2 mm in size.

PORTAL vein normal in course and calibre.

PANCREAS is normal in size and echotexture.

SPLEEN is normal in size and echotexture.

RETROPERITONEUM is free from any significant lymphadenopathy.

BOTH KIDNEYS are normal in size, shape and echopattern. Cortico-medullary differentiation is well maintained. Bilateral pelvicalyceal systems are not dilated. There is no evidence of calculus on either side.

RIGHT KIDNEY measures 8.7 x 3.0 cms.

LEFT KIDNEY measures 8.8 x 3.5 cms.

No free fluid is seen in the peritoneal cavity.

IMPRESSION : FINDINGS ARE SUGGESTIVE OF CHOLELITHIASIS.

PLEASE CORRELATE CLINICALLY.

what does this report signifies.
Galstone is evident IS THERE ANY OTHER MADICAL ISSUE HIGHLIGHTED BY THE REPORT BEYOND GALSTONE.
THANKS AND REGARDS

[vikramvaryani]

I need some help.please suggest what should i do
My dad has bile duct ie 8 mm stone is found in distal part of cbd which is resulting in dilatation of proximal part of cbd.the maximum diameter of 12 mm.

Chd rdh lhd are mildely prominent .
Gall bladder is over distanded with mild pericholesyctic edema.however no calculus in lumen.

[MKS2k14]

AS A FOLLOW UP OF THE ABOVE SAID ULTRA SOUND REPORT I HAVE CONDUCTED "CT SCAN CONTRAST- WHOLE ABDOMEN" TEST OF MY MOTHER WHO IS 64 YEARS OF AGE.  The report says....

CT SCAN - WHOLE ABDOMEN Oral & I.V contrast (non-ionic) given. No complications.
REPORT:Liver is normal in outline and attenuation. No focal lesion seen. Intra-hepatic biliary radicles are not dilated. CBD shows mild fullness ? age related .
Gallbladder is normal in site, outline and distension with calculi seen in  fundus.
Pancreas is normal in size, outline and attenuation. No calcification seen in pancreas.
Spleen is normal in size, outline and attenuation.
Both kidneys are normal in size, outline and function. Both ureters are normal in course and caliber.
No evidence of retroperitoneal lymphadenopathy noted.
Urinary bladder is normal in site, outline and distension.
Uterus is normal in site, size and shape. No adnexal mass present.
No free fluid present.
Bowel loops under review are normal in course and caliber.
IMPRESSION : Cholelithiasis +

CAN WE INFER THAT CBD WHICH WAS SHOWN PROMINENT IN ULTRA SOUND IS BECAUSE OF HER AGE AND THERE IS NO BAD EFFECT OF GALSTONE ON THE CBD. AND  THERE IS NO BLOCKAGE IN CBD. IN THE PRESENT CASE AS CBD IS NOT AFFECTED BY GALSTONE LIVER IS ALSO NOT AFFECTED BY GALSTONE.

I WAS WORRIED BECAUSE OF ONE REASON THAT COMPEL ME FOR THE "CECT TEST" .. THIS WAS ..... IN LAST FEW WEEKS MY MOTHER WAS FEELING MILD FEVER AROUND 99'C TO 101'C . AND FEELS VERY WEEK . I HAVE TO CONSULT A LOCAL DOCTOR WHO SAID IT IS BECAUSE OF INFECTION AND AFTER 4-5 DAYS OF MEDICINE SHE RECOVERED BUT AFTER 2-3 DAYS SHE AGAIN FEEL SOMEWHAT WARM AND UNEASINESS.  THIS PROMPT ME TO CHECK IF THERE IS ANY ILL EFFECT OF GALSTONE WHICH IS LEADING THIS PROBLEM. BUT THE DOCTOR SAID NO PHYSICAL SIGN OF JAUNDICE SEEN. SHOULD I ALSO TEST HER FOR JAUNDICE. CAN I FEEL RELAX THAT STONE IS NOT HAMPERING THE BODY AT THIS MOMENT AS PER REPORT IN ANY ADVERSE WAY.

[Paderla Anitha, DNB]

Hi, from the report there is evidence of gallstones and the common bile duct is enlarged. The upper limit of normal for the common bile duct as measured by ultrasound is considered to be 6 mm. The enlargement could be due to gallstones. Any structural abnormalities of the gall bladder like stones or polyps need surgical correction. The stones can chronically irritate the gallbladder wall and cause inflammation and pain. Also, this chronic irritation is a predisposing cause for gallbladder cancer. If the stone is placed in the neck of the gall bladder, it can cause retention of bile, with stasis and consequent infection. So, the best option would be to have an elective gallbladder removal. Please discuss this with your doctor am sure he will provide further assistance.Regards.