45-year-old female patient with elevated LFTs. History of polycystic kidney disease. ABDOMEN:LIVER, BILIARY TRACT: Innumerable nonenhancing T2 hyperintense lesions throughout the liver are compatible with cysts with the suggestion of concomitant peribiliary cysts. No suspicious hepatic lesion is identified. There is no intrahepatic biliary duct dilatation. The proximal common bile duct is prominent in size measuring up to 7 mm in diameter, but smoothly tapers distally without evidence of an obstructing lesion. Trace dark signal within the mid-common bile duct may represent artifact or a small amount of pneumobilia.SPLEEN: No significant abnormality noted.PANCREAS: The main pancreatic duct is not dilated.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Innumerable T2 hyperintense lesions throughout both kidneys without suspicious enhancement features are compatible with cysts. There is no hydronephrosis. Additional subcentimeter T2 hyperintense lesions 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.No specific findings to account for the patient's symptoms. 2.Prominent proximal common bile duct without distal obstructing lesion. Trace dark signal within mid-common bile duct may represent artifact or trace pneumobilia; correlate with recent intervention. 3.Hepatic and renal cysts compatible with patient's diagnosis of polycystic kidney disease. 