27 years, Female, Reason: 27 F p/w epigastric pain, hyperbilirubinemia and elevated liver enzymes. RUQ u/s showed mildly dilated bile duct without stone. History: as above. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Intrahepatic biliary ductal dilatation with dilated common bile duct to 8 mm. There is a stone in the distal common bile duct measuring 4 mm. No focal hepatic lesion.SPLEEN: No significant abnormality noted.PANCREAS: Normal appearing pancreatic duct.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Distal common bile duct stone causing mild intrahepatic and extrahepatic biliary ductal dilatation.