87-year-old woman with history of elevated LFTs. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in signal and morphology. No focal hepatic lesions are identified.The gallbladder is full of stones and sludge. The common bile duct measures up to 8 mm in diameter.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.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: Small left pleural effusion with adjacent pulmonary edema and atelectasis noted.
1.Cholelithiasis without evidence of cholecystitis.2.Mild common bile duct dilatation, but at the limits of normal for patient of this age. No ampullary stone or extrinsic mass identified.