77-year-old woman with history of outside CT demonstrating intrahepatic biliary duct dilatation. This examination is limited by respiratory motion as patient could not tolerate the respiratory gating belt. Additionally, there is no intravenous contrast to evaluate for enhancing solid organ lesion.ABDOMEN:LIVER, BILIARY TRACT: Increased parenchymal signal on the opposed phase images suggest iron deposition of the liver.There is extrahepatic biliary duct dilatation with no significant intrahepatic duct dilatation. The common bile duct is dilated up to 16 mm (series 13, image 104) and tapers smoothly in the intrapancreatic portion.SPLEEN: The spleen is low in signal suggesting deposition.PANCREAS: The pancreatic duct in the body and tail is dilated up to 8 mm (series 13, image 115). The pancreatic duct in the head appears relatively normal. No focal pancreatic masses identified.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Innumerable bilateral renal cysts are noted.RETROPERITONEUM, LYMPH NODES: No significant lymphadenopathy noted.BOWEL, MESENTERY: The visualized small bowel and colon are normal.BONES, SOFT TISSUES: A large focus of susceptibility artifact centered in the right iliac wing is noted, likely postsurgical artifact.OTHER: No significant abnormality noted.
1.Limited examination due to patient body habitus, inability to tolerate respiratory gating, and lack of intravenous contrast.2.Common bile duct dilatation with smooth tapering of the intrapancreatic portion suggesting a distal stricture.3.Pancreatic duct dilatation in the body and tail suggesting pancreatic duct stricture.4.No definite obstructing lesion identified, however this is a very limited examination, and this can be further evaluated with EUS as clinically warranted.