47-year-old female with Roux-en-Y, bile duct stricture ABDOMEN:LIVER, BILIARY TRACT: Status post cholecystectomy and Roux-en-Y. There is very mild intrahepatic biliary ductal dilatation. There is a very short common hepatic duct with trifurcation of the intrahepatic biliary ducts. There is poor delineation of the thin anastomosis to small bowel although no stricture is felt to be present. There is a small T2 hyperintense focus with adjacent probable surgical clip at the porta hepatis corresponding to a cystic collection seen on recent CT. This focus does not demonstrate enhancement and there are no surrounding inflammatory changes.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Moderate prominent porta hepatis lymph nodes.BOWEL, MESENTERY: Status post Roux-en-Y.BONES, SOFT TISSUES: Midline abdominal incision and T2 signal within the subcutaneous tissue of the right anterior abdominal wall may represent changes of surgery.OTHER: No significant abnormality noted.
1.Status post Roux-en-Y. No stricture is felt to be present at the hepaticojejunostomy. Very mild intrahepatic biliary ductal dilation. 2.Small T2 hyperintense focus adjacent to a probable surgical clip at the porta hepatis corresponding to a cystic collection seen on recent CT. This focus has no surrounding inflammatory changes and does not enhance. Findings favor a residual duct or cystic duct remnant without evidence of complication. 