Fwd: Repost - My son's MRI Findings

[Guest guest]

I am reposting my message from last Friday because I did not get any response.

Perhaps people were busy or did not have any thing to say. But I will really

appreciate if any one has comments to offer or can give me a pointer or two for

the relevant literature on this issue - Thanks.

To make things worse, my computer went down yesterday and to retrieve my message

from Friday,I have to go on-line. But now I am back on a new computer and able

to read the PSC e-mails again.

I am hoping for some feedback.

Umesh

Hello everyone:

Forgive me for having not posted in a long while and it has been a while.

For those of you who do not know me, I have a son (Raj) with AIH/PSC

overlapping syndrome.

I am looking forward to attending the Chicago conference in early May and

meeting many of you. For now though I want some feedback on the recent

contrast-MRI findings on Raj's liver. The doctor wants to do a follow up

MRI on his liver in 3 months.

MRI exam states " Dilation of several intrahepatic ducts in the right and

left lobes of the liver are similar in appearance, except for an increased

prominence of the of the peripheral bile ducts between segment IVA and

VIII. No other change in dilation or narrowing since the prior exam.... "

It further states " Dynamic enhancement demonstrates no abnormal hepatic

masses. No definitive evidence of cholangiocarcinoma.... "

On the other hand, the Ultrasound findings were normal for the Intrahepatic

ducts.

I have two following questions.

1. Am I correct that compared to Ultrasound MRI exam has better resolution

and therefore, the results of the latter are to be believed?

2. What do the MRI findings " an increased prominence of the peripheral bile

ducts " exactly mean? What are different interpretations and causes of this?

Thanks and take care.

Umesh

Umesh (father, son Raj -- May '99 AIH, Jan '02 suspect auto cholangitis,

Sept '02 UC, Jan '05 small duct PSC, March '07, PSC)

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