47-year-old female. Status post cholecystectomy complaining of abdominal pain. Per OSH MRCP patient has cholelithiasis. Please evaluate and confirm diagnosis. Examination is limited due to significant motion artifact and lack of pre-contrast T1 sequences.ABDOMEN:LIVER, BILIARY TRACT: Post-surgical findings of cholecystectomy. Central moderate intrahepatic and marked extrahepatic biliary ductal dilatation with transition point at a 7 mm distal CBD stone near the ampulla (series 11, image 13).Hepatomegaly measuring 19 mm in length.SPLEEN: No significant abnormality noted.PANCREAS: No pancreatic ductal dilatation.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Scattered small T2 hyperintense foci in the kidneys, incompletely characterized without intravenous contrast, likely cysts.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Small hiatal hernia. Postsurgical changes in the small bowel.BONES, SOFT TISSUES: Small ventral hernia containing unobstructed loop of bowel.OTHER: No significant abnormality noted.
Diffuse biliary ductal dilatation with transition point at an obstructing 7 mm distal CBD stone near the ampulla.