Does my mother's MRCP report show the cause for dilated bile duct?

Q. We did MRCP test as my mother's bile duct is dilated. Can you please interpret the report?

Answered by
Dr. Mian Shah Yousaf
and medically reviewed by Dr. Sneha Kannan
This is a premium question & answer published on Apr 24, 2020 and last reviewed on: Aug 08, 2023

Hello doctor,

My mother had an issue with her abdomen. It has been one or two months since she is feeling an unusual pain in the abdomen. It is accompanied by bloating and severe intestinal gas. We saw expert doctors. One of them said the gallbladder is oily. And after seeing the result of the ultrasound, another doctor said the bile duct is dilated, and due to that, he recommended us to take an MRCP image, and we did that and received the images, but due to the COVID outbreak and especially my mother's age which is 54 years old, we are afraid to go to the hospital and show that to the doctors who recommended us to do MRCP, and we cannot contact him online. For more information, my mother has been using opium for 25 years. I will appreciate if you help us. Thank you for your attention.

Best regards.



Welcome to

I reviewed the history and MRCP (magnetic resonance cholangio pancreatography) report (attachments removed to protect the patient's identity) of your mother.

Oily liver or gall bladder is not an issue. Her biliary ducts are dilated, but there is no obvious cause of dilatation. There is no stone or tumor in it. It may be secondary to chronic use of Opium, but it will need further evaluation by an endoscopic procedure called ERCP(endoscopic retrograde cholangiopancreatography). But in my opinion, this is not an emergency. Meanwhile, start using the following treatment, and it will help her out in her symptoms.

The Probable causes:

Opium/ Periampullary lesion

Investigations to be done:

ERCP (endoscopic retrograde cholangiopancreatography).

LFTs (liver function tests).

CBC (complete blood count).

Differential diagnosis:

Periampullary lesion.

Opioid induced.

Probable diagnosis:

Opioid induced SOD (sphincter of Oddi dysfunction).

Treatment plan:

Tablet Levosulpiride 25 mg three times before meals.

Tablet Rifaximin 550 mg two times after meals.

PEG (Polyethylene Glycol) sachet once at night.

Regarding follow up:

Use these medication till you follow your consultant.

Meanwhile do the advised laboratory tests and let me know, I will guide you about ERCP needs.

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