Female 60 years old Reason: evaluate for choledocholithiasis History: RUQ pain, dilated CBD ABDOMEN:LIVER, BILIARY TRACT: Liver is normal in morphology. No suspicious hepatic lesions. Hepatic and portal veins are patent. There is mild to moderate intrahepatic biliary ductal dilatation. The common bile duct is dilated measuring up to 3 cm. It tapers at the head of the pancreas. While there are gallstones, the gallbladder is not distended. No definite evidence of choledocholithiasis.SPLEEN: No significant abnormality noted.PANCREAS: Suboptimal evaluation of the pancreatic head due to motion artifact. The pancreatic duct is dilated up to 9 mm in the head of the pancreas. The ducts taper at the level of the ampulla with a small adjacent cystic lesion measuring 16 mm. No choledocholithiasis evident.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral renal cysts. No hydronephrosis.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Small bowel is normal in caliber and course. There is some edema surrounding these left upper abdominal small bowel loops.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Cholelithiasis without choledocholithiasis.2.Dilated common bile duct and pancreatic duct with a small cystic lesion near the head of the pancreas. Further evaluation is suggested to exclude a small underlying mass.3.Nonspecific edema surrounding the small bowel in the left upper abdomen.