Hello

This is Molly a 7 year old FS DSH. Presented for anorexia and occasional vomiting.

T bilirubin was elevated. 

My question is: when I trace the Cystic duct there appears to be tissue in the dilated portion that is attached to the ventral wall. Wondering if this is indicative of anything in particular such as a tumor. As I’m posting this I realize I forgot to perform Doppler on that area.

Hello

This is Molly a 7 year old FS DSH. Presented for anorexia and occasional vomiting.

T bilirubin was elevated. 

My question is: when I trace the Cystic duct there appears to be tissue in the dilated portion that is attached to the ventral wall. Wondering if this is indicative of anything in particular such as a tumor. As I’m posting this I realize I forgot to perform Doppler on that area.

I also posted pictures of the tortuous dilated bile duct. I examined as carefully as I could and found no obvious stones but the size of the bile duct is approaching that of surgical (->0.45cm) but intermittently buldges and recesses. The pancreatic duct appears enlarged as well,  but the pancreas enzymes were normal and the pancreas appeared normal on US. I was wondering if anything stands out on the general scan of the area as a reason for the back-up of bile.

Thanks. Brent