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Background-Evaluation of a suspected biliary tract disease is a common surgical problem and traditionally diagnosed by a variety of imaging modalities including Results-MRCP was able to diagnose ductal dilatation and hence, differentiate surgical from medical jaundice in all the patients (100%). MRCP was accurately able to detect the level of obstruction in 100% of cases. The most common cause of obstructive jaundice was pancreatico-biliary tumors (50%), followed by choledocholithiasis (40%). MRCP was accurately able to detect the cause of obstruction in 95% of cases. Conclusion-Magnetic resonance imaging -magnetic resonance cholangiopancreatography (MRI-MRCP) is a highly sensitive non-invasive technique in the detection of the presence of biliary obstruction in addition to defining its level and cause. The accuracy of magnetic resonance cholangiopancreatography and its non-invasiveness have considerably restricted the diagnostic role of Endoscopic retrograde cholangiopancreatography (ERCP).

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