Reason: mildly dilated bile ducts History: severe abd pain ABDOMEN:LIVER, BILIARY TRACT: There is focal ductal dilatation in the right lobe of the liver without definite associated lesion (series 301 image 18), close continued follow-up is recommended.SPLEEN: No significant abnormality noted.PANCREAS: Small peripancreatic nodes noted. The pancreatic duct and parenchyma appear within normal limits.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Small bilateral renal cysts.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.Focal ductal dilatation in the right lobe of the liver without definite associated lesion. This may be due to mild underlying stricture that is not well-visualized, or given patient's age this may be from autoimmune pancreatitis, please correlate with IgG4 levels. Continued close follow-up is recommended.