Female 48 years old Reason: Dilated biliary duct, evaluate for obstruction LUNG BASES: Cardiomegaly.ABDOMEN:LIVER, BILIARY TRACT: Cholelithiasis. Mild intrahepatic duct dilatation. The common bile duct is dilated measuring 1.2 cm in transverse dimension. This continues to the to the ampulla. No filling defect identified however the possibility of distal CBD or ampullary benign stricture cannot be excluded. Small T2 hyperintensity in the inferior right hepatic lobe is too small to characterize but may represent cyst.SPLEEN: No significant abnormality noted.PANCREAS: Irregularity of the pancreatic duct with alternating areas of dilatation and stricturing with more normal appearance of the duct in the pancreatic head. The largest area of stricturing measures approximately 1.8 cm in length. The duct measures approximately 6 mm in transverse dimension. There is loss of the normal intrinsic T1 signal throughout the pancreas which is also hypoenhancing. There is marked atrophy of the head, uncinate process and body. No mass is identified. Overall the appearance is suggestive of chronic pancreatitis with multifocal pancreatic duct stricturing.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.
1.Stricturing of the pancreatic duct with background pancreatic parenchymal atrophy. The findings are suggestive of chronic pancreatitis.2.Cholelithiasis with dilatation of the common bile duct to the ampulla. No filling defect identified within the common duct however the possibility of benign distal CBD stricture cannot be excluded.