54 year old female. Cirrhosis. Bil dil on ultrasound. ABDOMEN:LIVER, BILIARY TRACT: No suspicious hepatic mass is identified. Patent hepatic vasculature. Mild central intrahepatic dilatation and diffuse marked extrahepatic ductal dilatation measuring up to 18 mm, which has increased from 2011 when it measured 10 mm. Patient will be called back for MRCP images for further evaluation of this biliary dilatation.Blooming artifact next to the ampulla due to a duodenal diverticulum, better seen on prior CT.Questionable nodular thickening near the ampulla (series 1201, image 67), unchanged from 2011 (seen on series 12, image 14), most likely benign and may represent collapsed duodenal folds. Cholecystectomy clips.SPLEEN: No significant abnormality noted.PANCREAS: No pancreatic mass. No pancreatic ductal dilatation.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Mild cortical scarring of the left kidney.RETROPERITONEUM, LYMPH NODES: Atherosclerotic disease of the abdominal aorta.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No ascites or varices.
1.No suspicious hepatic mass.2.Mild central hepatic and diffuse marked extrahepatic biliary ductal dilatation which has increased from 2011. Patient will be called back for MRCP images for further evaluation and addendum will be issued at that time.