Male 58 years old Reason: cause of intrahepatic and extrahepatic biliary dilation History: chest pain ABDOMEN:LIVER, BILIARY TRACT: Liver is normal in morphology, no suspicious hepatic lesions. The vasculature are patent. The gallbladder contains multiple tiny layering stones without wall thickening or surrounding inflammation. The gallbladder is mildly distended.The CBD is mildly dilated measuring 12mm up to the level of the ampulla where it tapers smoothly. The ampulla is prominent and projects into the duodenum. T2 hypointense stone is seen in the distal CBD as seen in image 21 of series 201.SPLEEN: No significant abnormality noted.PANCREAS: The pancreatic duct is mildly dilated at 4mm. No evident mass. No parenchymal or surrounding inflammationADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Small renal cysts. No hydronephrosis.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Colon is distended with above average stool burden.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Findings suspicious for a small distal CBD stone causing obstruction.2. Above average stool burden in the colon.3.Cholelithiasis without specific findings of acute cholecystitis. Gallbladder is mildly distended.