Male 46 years old with elevated alkaline phosphatase. Evaluate for choledocholithiasis, biliary stricture. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in size and contour. There is no focal hepatic lesion or abnormal enhancement. No intra or extrahepatic biliary ductal dilatation. The gallbladder is normally distended without cholelithiasis. Hepatic vasculature appears patent.SPLEEN: No significant abnormality noted.PANCREAS: The pancreas enhances homogeneously. The pancreatic duct is not dilated. There appears to be a slight variant and pancreatic anatomy possibly representing pancreas divisum.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No hydronephrosis or suspicious renal lesion.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.
No intra or extrahepatic biliary ductal dilatation or stricture. No choledocholithiasis.