84-year-old female patient with biliary ductal dilatation. ABDOMEN:LIVER, BILIARY TRACT: There is mild intrahepatic biliary ductal dilatation. The common bile duct is dilated up to 14 mm proximally and smoothly tapers distally without evidence of an obstructing mass. The gallbladder is absent. Multiple scattered subcentimeter T2 hyperintense lesions likely represent biliary hamartomas. Mildly decreased signal on out of phase imaging is compatible with hepatic steatosis.SPLEEN: No significant abnormality noted.PANCREAS: There is age-related fatty atrophy of the pancreas. Multiple subcentimeter cystic lesions within the pancreas likely represent sidebranch IPMNs. ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.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.Intra- and extrahepatic biliary ductal dilatation without evidence of an obstructing mass; this is likely secondary to a post-cholecystectomy state given normal bilirubin.2.Subcentimeter cystic hepatic and pancreatic lesions likely representing biliary hamartomas and sidebranch IPMN's, respectively.3.Hepatic steatosis. 