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INTRA, EXTRA HEPATIC BILIARY DILATATION in ultrasound, normal MRCP. Reason.

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I had an abdominal ultrasound ( at a hospital UCSF) which demonstrated mild intra and extra hepatic biliary dilatation without visualized cause of obstruction. The CBD measured 1 cm. So I asked my primary care physician to order a MRI of the abdomen. The center also recommended a MRCP. (this was done at an outpatient clinic, which I paid for because my doctor said the insurance company would not pay for it as I am asymtomatic.) It demonstrated "no distended bile ducts identified" " The head of the head of the pancreas is somewhat larger then typically seen , but within normal anatomic limits. The time interval between these two exams is two weeks. I am so confused. I work in the medical field and had an ultrasound tech do an unofficial ultrasound 2 days after I got the MRI results. The CBD measured 8 mm. This is still enlarged. I still have my gallbladder and it is normal. Do you think the radiologist misinterpreted the MRCP exam? Should I get a second opinion? I think the MRI center where I got the MRCP & MRI of the abdomen does mainly ortho work.

Category: Family Physician-GP

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Category: Diabetologist
 31 Doctors Online

Hello,
Thank you for your query to DoctorSpring.com
During the winter season, viruses run rampant and are the main cause for common colds.
From your described symptoms, it is a possibility you could have either the flu (due to influenza A or B virus) or a cold virus (rhinovirus from your brother). Symptoms alone cannot tell which of the two is the culprit.
Have you taken your yearly flu shot? If you haven't I would strongly recommend you to get one immeditaely (within a day) which can be gotten without a prescription. It cannot substitute treatment with tamiflu.
However tamiflu cannot be obtained without a precription. Even if you have the flu, all you need is plenty of fluids and bed rest and tamiflu can be precribed if you see a physician within 2 days of onset of symptoms. It is given to reduce the duration of symptoms.
Hope this helps, feel free to discuss further


Dr. Jaydeep Tripathy
Category: Diabetologist
Experience: 
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Senior Residency in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

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