POST CHOLECYSTECTOMY collection and OBSTRUCTIVE JAUNDICE скачать в хорошем качестве

POST CHOLECYSTECTOMY collection and OBSTRUCTIVE JAUNDICE

GALL BLADDER : There is history of SURGICAL INTERVENTION as cholecystectomy has been attempted / performed , two months back and whats seen is an approx: measuring 10 x 8 cms , thick -- walled BAG OF FLUID that has irregular outer wall. Thick septa and thiny calcifications are seen in it with islands of echogenic material in its dependent region. The intra -- hepatic bile duct ectasia seen is possibily from the mass effect on the NOT VISUALISED CH/ CBD. Solitary ( reactive ) para -- celiac plain enlarged lymph -- node is seen. NO focal mass seen. No fluid seen. There is though a possibility that removal of the loculated , walled of complicated filled cystic area may relieve the pressure and lead to resolution of obstructive jaundice provided the CBD is not ligated. PANCREAS: Normal size, echolevel & texture. No focal lesion seen. SPLEEN : Normal size, echolevel & texture. No focal lesion seen. NO ASCITES ` No Pleural effusion seen. No para-aortic L. N enlargment. No GUT related mass seen. by DR TAHIR A SIDDIQUI ( consultant sonologist ) Gujranwala. Pakistan