Left-sided abdominal pain radiating to the back, rule out pancreatic or biliary abnormality. ABDOMEN:LIVER, BILIARY TRACT: The liver demonstrates normal parenchymal signal intensity. No suspicious focal hepatic lesions are identified.The gallbladder is surgically absent. The common bile duct is mildly prominent measuring up to 7 mm in diameter. Within the pancreatic head, the distal common bile duct smoothly tapers and is no longer seen approximately 6 mm from the ampulla which is suspicious for a benign stricture. No biliary stones are identified.SPLEEN: No significant abnormality noted.PANCREAS: The pancreas demonstrates normal signal intensity and enhancement without focal lesions. The pancreatic duct is not dilated.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.Suspected benign stricture of the distal common bile duct just proximal to the ampulla. Mild prominence of the common bile duct up to 7 mm which may be related to postcholecystectomy state or aforementioned stricture.2.Pancreatic duct within normal limits.