HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

What Does The Following Ultrasound Report Indicate?

default
Posted on Wed, 12 Aug 2015
Question: Should I be concerned that, on my first ultrasound, the common bile duct was 3mm, but on a repeat six months later it was 1.6mm.

The only changed was the size of the CBD. The other findings were:
- The liver is normal in size and echotexture. There are no focal intra hepatic lesions evident.
-The gallbladder is normal in appearance without evidence of wall thickening, calculi, or pericholecystic fluid. Sonographic Murphy's sign is absent per the technologist.
- the common bile duct is normal measuring 1.6 mm There is no intrahepatic biliary ductal dilation evident
- The visualized portion of the pancreas appears normal.
- The right kidney measures 10.1 cm and the left kidney measures 9.9 cm. There is no
hydronephrosis or intrarenal mass evident.
- The visualized portions of the spleen, aorta, and inferior vena cava are unremarkable.
- There is no ascites.

ultrasounds were done for right upper quadrant pain
doctor
Answered by Dr. Grzegorz Stanko (40 minutes later)
Brief Answer:
No need to be concerned.

Detailed Answer:
Hello!

Thank you for the query.

You should not be concerned about this difference in common bile duct. Actually it should be narrow as in the second result. So we can say its even better than previously.
Common bile duct can get wide due to some obstruction. This obstruction can be caused by stones (most common reason) and rarely by pancreas tumor.

At your case there is no evidence of stones and no signs of pancreas tumors. So there is no need to be concerned.

Hope this will help. Feel free to ask further questions.
Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Grzegorz Stanko (50 minutes later)
Thank you for your quick response. I was concerned because I read that the size should be around 4mm and if too small it may be a bile duct stricture, which is evidence of disease/bile duct disorder?
doctor
Answered by Dr. Grzegorz Stanko (34 minutes later)
Brief Answer:
You do not have bile ducts disorder symptoms.

Detailed Answer:
If it would be too small, you should have jaundice, dark urine, itchy skin, pale stool. Lack of this symptoms and no changes in blood work (normal liver tests) tell that your bile duct works fine. So you do not have any bile duct disorder symptoms.
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Grzegorz Stanko

General Surgeon

Practicing since :2008

Answered : 5795 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
What Does The Following Ultrasound Report Indicate?

Brief Answer: No need to be concerned. Detailed Answer: Hello! Thank you for the query. You should not be concerned about this difference in common bile duct. Actually it should be narrow as in the second result. So we can say its even better than previously. Common bile duct can get wide due to some obstruction. This obstruction can be caused by stones (most common reason) and rarely by pancreas tumor. At your case there is no evidence of stones and no signs of pancreas tumors. So there is no need to be concerned. Hope this will help. Feel free to ask further questions. Regards.