History of recurrent cholangitis of unclear etiology, evaluate for biliary stricture. ABDOMEN:LIVER, BILIARY TRACT: No focal hepatic lesions are identified. The hepatic vasculature is patent. The gallbladder is surgically absent. There is no intrahepatic biliary ductal dilatation. The common bile duct measures up to 7 mm in diameter. There is slight smooth narrowing of the distal common bile duct measuring down to approximately 2 to 3 mm which remains patent. There is no abnormal enhancement of the bile ducts or secondary evidence of cholangitis.SPLEEN: No significant abnormality noted.PANCREAS: The pancreatic parenchyma demonstrates normal signal intensity and enhancement. The pancreatic duct is not dilated. There are a few small cystic foci within the body of the pancreas measuring up to 4 mm (series 9, image 17). Though these do not definitively connect to the pancreatic duct, they likely represent side branch IPMNs. ADRENAL GLANDS: There is a 1.3 x 2.5 cm right adrenal nodule which demonstrates loss of signal on out of phase images and is compatible with a benign adrenal adenoma.KIDNEYS, URETERS: Status post right nephrectomy. Left renal cysts, some of which are too small to characterize.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.
1.Smooth slight narrowing of the distal common bile duct without definite stricture, stone, or obstructing lesion. No specific imaging evidence of cholangitis currently.2.Benign right adrenal adenoma.