27-year-old female with history of cholecystectomy in 2010 with laparoscopic duodenal switch in 2013 and laparoscopic small bowel resection for blind loop syndrome who quickly developed choledocholithiasis now presenting with right upper quadrant. Evaluate. ABDOMEN:LIVER, BILIARY TRACT: No focal hepatic lesions with evidence of periportal edema. There is mild dilatation of the common bile duct measuring up to 8 mm, likely sequela of cholecystectomy. Mild intrahepatic biliary ductal dilatation. Cystic duct remnant is noted. No evidence of choledocholithiasis. SPLEEN: No significant abnormality noted.PANCREAS: Pancreas demonstrates normal intrinsic T1 hyperintensity. The main pancreatic duct crosses over the common bile duct and drains into the minor papilla.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.Common bile duct dilatation likely sequela of prior cholecystectomy without evidence of choledocholithiasis. Mild intrahepatic biliary ductal dilatation.2.Pancreatic divisum.3.Mild periportal edema.