Reason: obstructive vs neoplastic process History: with gallbladder and common bile duct dilation, h/o weight loss. undergoing LVAD workup ABDOMEN:LIVER, BILIARY TRACT: Gallbladder is mildly distended without evidence of cholecystitis. Common bile duct measures 9 mm in diameter, smoothly tapering at the ampulla. No choledocholithiasis or obstructing lesions are evident.SPLEEN: No significant abnormality noted.PANCREAS: Main pancreatic duct is mildly prominent. No focal pancreatic lesions.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Right kidney is atrophic. Right-sided T2 hyperintensity likely represent cysts.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Diverticulosis without evidence of diverticulitis. ABONES, SOFT TISSUES: No significant abnormality noted.OTHER: Moderate bilateral effusions, similar to the prior CT.
1.Mild dilatation of the gallbladder and common bile duct, smoothly tapering to the ampulla, may suggest a benign structure.2.Atrophic right kidney.3.Moderate bilateral effusions.