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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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MRI Shows Extrahepatic Bile Duct And Mild Dilation Of Intrahepatic Bile Duct. Meaning?

I had my gall bladder removed in 1995 and lately have been feeling ill and loosing weight without even trying so the doctor sent me for a mri and it says that ive got a extra hepatic bile duct and she wants me to have a gastropothy(sorry dont know how to spell it) and a colonoscopy and also says that i have a mild dilation of my intrahepatic bile duct and is sending me to a specialist to see what it all means. And myextrahepatic measures 10mm at its proximal third tapering to approx 8mm distally could you please explain. Thanks
Tue, 12 Mar 2013
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Gastroenterologist, Surgical 's  Response
Hi,
If the MRI is not showing any cause for obstruction then you need not worry. Postcholcytectomized state can also give rise to dilatation.
A 10mm duct becoming 8mm is suggestive of narrowing which can be extrinsic or intrinsic and needs to be evaluated. At times a Contrast enhaced Ct yields more information on such issues.
Get a stool occult blood examination done. If positive then a upper GI scopy and Ct may be indicated.
Reagrds
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MRI Shows Extrahepatic Bile Duct And Mild Dilation Of Intrahepatic Bile Duct. Meaning?

Hi, If the MRI is not showing any cause for obstruction then you need not worry. Postcholcytectomized state can also give rise to dilatation. A 10mm duct becoming 8mm is suggestive of narrowing which can be extrinsic or intrinsic and needs to be evaluated. At times a Contrast enhaced Ct yields more information on such issues. Get a stool occult blood examination done. If positive then a upper GI scopy and Ct may be indicated. Reagrds