57 year old male with a history of HCV and weight loss found to have biliary dilation on recent ultrasound examination. ABDOMEN:LIVER, BILIARY TRACT: There is mild prominence of the common bile duct which measures up to 7 mm in diameter. There is no intrahepatic biliary ductal dilation. No focal mass lesion identified. No gallstones or common duct stones are identified. Note is made of a normal liver morphology. No evidence of abdominopelvic ascites. There are multiple subcentimeter foci of fluid signal intensity which are too small to characterize but likely represent simple cysts. SPLEEN: No evidence of splenomegaly.PANCREAS: There is mild prominence of the common pancreatic duct. There are is not focal masslesion identified. ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No evidence of lymphadenopathy. BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.
Prominence of the common bile duct and main pancreatic duct, as detailed above. While no obstructing mass lesion is identified, further evaluation with ERCP should be considered if clinically indicated in order to exclude a benign stricture or occult masslesion at the level of the ampulla/common trunk. 