30-year-old male with gunshot wound to abdomen/pelvis in 10/2016. Status post small bowel resection at outside hospital. Here with abdominal pain, elevated LFTs with dilated biliary ducts on CT. Needs MRCP. Patient with abdominal pain, nausea and vomiting. ABDOMEN:LIVER, BILIARY TRACT: Subcentimeter right hepatic lobe T2 hyperintensities are too small to characterize, favor cystic. There is a 3.5 mm stone in the distal common bile duct (coronal series 3 image 15) with mild to moderate intra and extrahepatic biliary ductal dilatation. The distal common bile duct caliber change is noted at this level as seen on the MRCP sequence (coronal series 9 image 19). Cholelithiasis better appreciated on the prior CT exam.SPLEEN: No significant abnormality noted.PANCREAS: Intrinsic T1 signal intensity of the pancreatic parenchyma is relatively low, which may reflect sequelae of prior pancreatitis.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Midline susceptibility artifact from prior surgery/known trauma. Post-traumatic surgical changes better described on the prior CT exam.BONES, SOFT TISSUES: The previously described right thigh soft tissue hematoma is not included on the current study.OTHER: No significant abnormality noted.
1.Choledocholithiasis with mild to moderate intra and extrahepatic biliary ductal dilatation.2.Additional findings as above.