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

Resolved question:
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.

Submitted: 4 Days
Category: Family Physician-GP

Expert:  Dr. Jaydeep Tripathy replied 4 Days.

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

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