Epigastric pain. Episodic cramping RUQ pain, status post cholecystectomy. Bilirubin elevated from baseline. ABDOMEN:LIVER, BILIARY TRACT: Small hepatic cyst. Minimally dilated intrahepatic biliary duct in the right hepatic lobe running adjacent to a diminutive portal vein, unchanged from recent CT (series 502, image 59), unlikely to be of clinical significance and possibly related to post-cholecystectomy state. No other biliary ductal dilatation. No choledocholithiasis. Patent hepatic vasculature. No suspicious hepatic mass.SPLEEN: No significant abnormality noted.PANCREAS: Pancreatic divisum variant. 5 x 3 mm cystic focus in the uncinate process that appears to connect to the pancreatic duct, likely a side branch IPMN.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.No specific findings to explain the patient's symptoms. No choledocholithiasis or CBD dilatation.2.Subcentimeter cystic focus in the pancreatic uncinate process, likely an IPMN.