File:Bouveret syndrome (Radiopaedia 61017-68856 Axial T1 C+ fat sat 32).jpg

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Description	Radiopaedia case ID: 61017 Image ID: 39920609 Image stack position: 32/72 Plane projection: Axial Aux modality: T1 C+ fat sat Study findings: A gastric tube was placed and MRCP performed next day, revealing: Moderate gastric distension. The gallbladder contains multiple small calculi at the fundus and a larger calculus near the infundibulum. Inside the pylorus, there is an ovoid low T1WI and T2WI signal intensity formation, very similar to the gallstones. There is also a continuous trait through the gallbladder to the pylorus ovoid formation, best visualized on coronal T2WI. Simple cysts in both kidneys. Modality: MRI System: Gastrointestinal Findings: An important gastric distension is identified in the pyloric region. No small bowel or colonic distension. The gallbladder contains gas and is in intimate contact with the pylorus and duodenum. No biliary tree dilatation. Hypodense nodular formations are seen in both renal parenchymas. Arterial calcifications. No free fluid or pneumoperitoneum.
Date	Published: 13th Jun 2018
Source	https://radiopaedia.org/cases/bouveret-syndrome-3
Author	Franco A. Scola
Permission (Permission-reusing-text)	http://creativecommons.org/licenses/by-nc-sa/3.0/

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