Abdominal pain in right lower quadrant, CBD dilatation ABDOMEN:LIVER, BILIARY TRACT: Mild to moderate intrahepatic and hepatic biliary duct dilatation, CBD measures up to 1.2 cm, gradual tapering seen distally. No intraluminal signal void seen to suggest underlying choledocholithiasis. No definite obstructing lesion seen. Extensive adenomyomatosis. Gallbladder sludge. No secondary signs of acute cholecystitis.SPLEEN: Splenic calcification.PANCREAS: Prominent pancreatic duct, measuring up to 5 mm at pancreatic head level.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Subcentimeter retroperitoneal/left para-aortic lymph nodes.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1. Intrahepatic and extrahepatic as well as mild pancreatic ductal dilatation, no choledocholithiasis, no obstructing lesion delineated. Findings suggest underlying benign ampullary stricture, further evaluation with ERCP for confirmation suggested.