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Will the MRCP or renal ultrasound imaging reveal the presence of parasites in the biliary ducts or other abdominal abnormalities?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I have a parasite infection from either my trip abroad or from eating raw Alaskan salmon shortly before my symptoms started. I had been doing testing for soil-transmitted Helminths, but today I had taken MRCP imaging to focus on a possible Trematode infection from eating raw fish. I had an MRCP done in case I got some kind of a fluke that goes to the liver biliary ducts like Clonorchis or Opisthorchiasis. Although there is no doubt that this imaging would be useful in other kinds of parasite infections as well. Or even generally to identify the cause of chronic and often severe abdominal pain. I also had a renal ultrasound done, and they also examined my gallbladder during that procedure. During imaging, I told them that where I had been having a lot of moving sensations inside, and often painful as well, the technician said that it was my gallbladder.

So I would like to know if the MRCP or US imaging reveals evidence of the presence of parasites in the biliary ducts, liver, gallbladder, or elsewhere, including such signs as cystic lesions in the lobes of the liver, dilation of the common bile duct, or intrahepatic bile ducts, and irregularity of the walls or filling defects.

Hi,

Welcome to icliniq.com.

The MRI (magnetic resonance and imaging) scans show a normal gall bladder and biliary tree (attachment removed to protect the patient's identity). No evidence of biliary tree obstruction is seen.

The liver looks normal in appearance. No hydronephrosis is seen presently in either kidney.

Dull pain in the abdomen can be due to subtle gastrointestinal infection due to contaminated food which can cause small-volume abdominal lymphadenopathy which is better seen on abdomen ultrasounds.

Take care. If you have more questions, please feel free to discuss them.

Medically reviewed byiCliniq medical review team

Published At January 31, 2023
Reviewed AtJune 20, 2024

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