Male 64 years old Reason: cholestasis, evaluate for biliary obstruction History: cholestasis, history of NHL, anal cancer, panc adenoma with CIS s/p Whipple's ABDOMEN:LIVER, BILIARY TRACT: Liver is normal in morphology. Probable cyst noted in the right hepatic lobe. There is mild intrahepatic biliary ductal dilatation. There is mild narrowing at the biliary enteric anastomosis. The biliary limb is mildly dilated near the gallbladder fossa.Status post cholecystectomySPLEEN: No significant abnormality noted.PANCREAS: Postsurgical changes from a Whipple. There is some atrophy of the remainder pancreas. Pancreatic duct is mildly prominent. There is scarring near the expected location of the head/uncinate process of the pancreas in the region of prior abscess.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No hydronephrosis in either kidney. Left lower pole renal cyst.RETROPERITONEUM, LYMPH NODES: Reference mesenteric lymph node measures 2.1 x 1.6 cm on image 26/series 4 is not significantly changed from prior.BOWEL, MESENTERY: Postsurgical changes from a from a pancreaticoduodenectomy.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Mild intrahepatic biliary ductal dilatation with mild narrowing at the level of the biliary enteric anastomosis. The biliary limb is mildly dilated with narrowing near the head of the pancreas in the area of prior abscess formation with associated scarring. The area of obstruction may be at the biliary enteric anastomosis or at the level of the head of the pancreas where there is narrowing of the biliary limb.