63-year-old male with persistent jaundice, hyper conjugated bilirubinemia status post sphincterotomy and stenting ABDOMEN:LIVER, BILIARY TRACT: Cholelithiasis. Common bile duct stent is present. There are small foci of signal void within the common bile duct, which may reflect foci of gas while others may represent a small stone, particularly in the distal CBD. There is mild intrahepatic biliary duct dilatation. Mild enhancement of the extrahepatic biliary system may be related to recent procedure versus cholangitis.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Right T2 hyperintense renal cyst. No hydronephrosis or perinephric inflammation bilaterally.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.Small foci of signal void within the common bile duct may reflect foci of gas while others may represent a small stone, particularly in the distal CBD. There is mild intrahepatic biliary duct dilatation. 2.Mild enhancement of the extrahepatic biliary system may be related to recent procedure (stent placement and sphincterotomy) versus cholangitis. 