28-year-old male with conjugated jaundice/cholelithiasis ABDOMEN:LIVER, BILIARY TRACT: Cholelithiasis is present. There is mild gallbladder wall thickening and perfusion abnormality of the liver parenchyma adjacent to the gallbladder fossa. The common bile duct measures 10 mm. At the level of the ampulla is a low signal rounded focus compatible with choledocholithiasis. Beneath the discrete stone is ovoid tissue signal that may represent represent a hypertrophic ampulla versus sludge. Mild intrahepatic biliary ductal dilation is present.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.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. Choledocholithiasis with CBD dilation measuring up to 10 mm. Beneath the discrete stone is ovoid tissue signal that may represent represent a hypertrophic ampulla versus sludge. 2. Cholelithiasis with locoregional hyperemia although the gallbladder itself does not appear acutely inflamed.