History of gallstone pancreatitis and choledocholithiasis. ABDOMEN:LIVER, BILIARY TRACT: Diffuse fatty infiltration of the liver. The liver is normal in morphology, size, and enhancement. No focal suspicious lesion. Status post cholecystectomy. The common bile duct appears to narrow at the ampulla suggesting a benign stricture at the ampulla. The common bile duct measures up to 10 mm which may be in part due to post cholecystectomy state.The vasculature is patent.SPLEEN: The spleen is normal in morphology size and intensity.PANCREAS: The pancreas is normal in morphology, signal intensity and enhancement. The main pancreatic duct is normal in caliber. No peripancreatic inflammatory changes.Following secretin administration there appears to be an adequate excretory response of the pancreas. No side branch ectasia.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral renal cysts.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.Fatty liver.2.No significant stigmata of acute or chronic pancreatitis.3.Possible benign appearing stricture at the level of the ampulla with mild common bile duct prominence which may be in part due to post cholecystectomy state.