Reason: eval for cholecystitis, choledocholithiasis, etc History: ruq pain after eating fatty meal, transaminitis, elevated alk phos Please note several sequences are affected by motion artifact, however, overall study quality remains diagnostic.ABDOMEN:LIVER, BILIARY TRACT: The liver demonstrate normal signal intensity without evidence of hepatic steatosis or focal hepatic lesion. There are multiple layering gallstones within gallbladder lumen, but there is no evidence of acute cholecystitis. There is no choledocholithiasis or biliary ductal dilatation.SPLEEN: Normal signal intensity within the spleen without focal lesion.PANCREAS: The pancreatic duct is not dilated. No focal pigmented lesion is identified.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: There is no hydronephrosis or nephrolithiasis identified.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No evidence of bowel obstruction.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Cholelithiasis without evidence of acute cholecystitis. There is no biliary ductal dilatation or choledocholithiasis identified.