Female 33 years old Reason: biliary ductal dilatation History: RUQ abdominal pain, cholelithiasis ABDOMEN:LIVER, BILIARY TRACT: Liver is normal in morphology. No focal solid hepatic lesions. The hepatic and portal veins are patent.Hyperenhancement of the hepatic parenchyma near the gallbladder fossa. Gallbladder is distended and contains multiple layering stones. There are scattered stones within the gallbladder neck and possibly within the cystic duct. There is new gallbladder wall edema and mild infiltration of the surrounding fat with mild pericholecystic fluid.Common bile duct is normal in caliber. It measures 3 mm near the head of the pancreas. No definite filling defects to suggest choledocholithiasis.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Right kidney is absent. Left renal cortical cyst with some hemorrhagic components.RETROPERITONEUM, LYMPH NODES: Nonspecific small retroperitoneal lymph nodes.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Findings of cholelithiasis with increasing gallbladder wall edema, mild pericholecystic fluid and gallbladder distention compatible with early cholecystitis.2.No definite evidence of choledocholithiasis.3.No MR evidence for acute pancreatitis.