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The image displays a medical document featuring a diagnostic imaging scan and accompanying text. The scan appears to be a Magnetic Resonance Cholangiopancreatography (MRCP), showcasing the biliary system. Handwritten annotations on the scan indicate "Dilated intrahepatic" and "Dilated CBD". The text describes a case of a 45-year-old female patient presenting with intermittent right upper quadrant pain and jaundice, with a history of 6 months. It mentions that an ultrasound (USG) did not comment on the biliary channels, and the depicted investigation was planned.

The document poses four questions related to the imaging and patient's condition:
1. What is this investigation?
2. Describe the findings in this image.
3. What is the definite diagnosis of this patient?
4. What treatment options are available for this patient?

The provided answers, marked with checkmarks and circles, suggest:
- The investigation is Magnetic Resonance Cholangiopancreatography (MRCP).
- Findings include a hypodense lesion in the Common Bile Duct (CBD), and dilated intrahepatic and extrahepatic biliary systems.
- The diagnosis appears to be choledocholithiasis (CBD stone).
- Treatment options include ERCP and stone retrieval, with a note that if ERCP fails, choledochotomy (open or laparoscopic approach) is an alternative.

There is no information in the image that indicates a location in Mansehra, Pakistan. The content is purely medical and diagnostic.
FM-xxDv52

Jun 17, 2026

Mansehra, Pakistan

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The image displays a medical document featuring a diagnostic imaging scan and accompanying text. The scan appears to be a Magnetic Resonance Cholangiopancreatography (MRCP), showcasing the biliary system. Handwritten annotations on the scan indicate "Dilated intrahepatic" and "Dilated CBD". The text describes a case of a 45-year-old female patient presenting with intermittent right upper quadrant pain and jaundice, with a history of 6 months. It mentions that an ultrasound (USG) did not comment on the biliary channels, and the depicted investigation was planned. The document poses four questions related to the imaging and patient's condition: 1. What is this investigation? 2. Describe the findings in this image. 3. What is the definite diagnosis of this patient? 4. What treatment options are available for this patient? The provided answers, marked with checkmarks and circles, suggest: - The investigation is Magnetic Resonance Cholangiopancreatography (MRCP). - Findings include a hypodense lesion in the Common Bile Duct (CBD), and dilated intrahepatic and extrahepatic biliary systems. - The diagnosis appears to be choledocholithiasis (CBD stone). - Treatment options include ERCP and stone retrieval, with a note that if ERCP fails, choledochotomy (open or laparoscopic approach) is an alternative. There is no information in the image that indicates a location in Mansehra, Pakistan. The content is purely medical and diagnostic.

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FM-xxDv52

Jun 17, 2026

Mansehra, Pakistan

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