Case 19

 A seventy six-year-old female came to our hospital routinely to check blood sugar because she had type II diabetes mellitus. She felt exhausted for a week. No fever and abdominal pain were found. Laboratory test revealed an abnormality in liver function: AST 248 U/L (12-36), ALT 288 U/L (6-43), ALP 645 U/L (100-345) γ-GT 575 U/L (8-45), Total bilirubin 2.74 mg/dl (0.22-1.20), CRP 0.35 mg/dl (< 0.30), white blood cells 3770 / mm³, HbA1c 7.5％ She received CT and MRI for further examination.

What is the appropriate imaging diagnosis ?

1. Gall bladder cancer

2. Common hepatic duct cancer

3. Cystic duct cancer

4. Mirizzi syndrome

5. Swollen lymphnode metastasis

answer

2016.8.17