Big Sky Image Challenge

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August

Patient History: 34 year old female with nausea and vomiting post cholecystectomy
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Diagnosis: The answer will be finished loading shortly. Please be patient...

If you don't have the ablilty to see the answer above, here is Dr. Ryan's diagnosis:

"This is a case of retained common bile duct stones. The examination that we performed is called an MRCP and that stands for Magnetic Resonance Cholangiopancreatography, which is a big word that basically means what we are looking at are the bile ducts and the pancreatic duct. This patient had her gallbladder taken out and developed some stones in her common bile duct. Sometimes the stones just develop as a delayed reaction after the gallbladder has been removed years later; and sometimes there were stones in the gallbladder that fell into the common bile duct so when the gallbladder was removed, she had some leftover stones in the common bile duct. When she had some nausea and vomiting, which were similar symptoms to gallbladder disease; an MRCP was then performed and very nicely shows on this image three stones retained in the mildly dilated common bile duct. "

Kathleen Ryan, MDAbout the Radiologist: Kathleen Ryan, MD has been practicing with Eastern Radiological Associates since 1996.  Dr. Ryan received her medical degree from Creighton University in Omaha, Nebraska.  In addition to being a board-certified Radiologist, Dr. Ryan also completed a CT/Ultrasound Fellowship in St. Paul, Minnesota.  With her wealth of experience, Dr. Ryan reads the 3T MRI studies at Big Sky.  Dr. Ryan is dedicated to constantly improving the quality of radiology in Billings.  In her spare time she enjoys skiing, golfing and travel.