Male 52 years old Reason: stem cell transplant patient with dilated bile duct seen on recent abdominal US. History: abdominal pain, nausea, emesis ABDOMEN:LIVER, BILIARY TRACT: Liver is normal in morphology. It is unremarkable for unenhanced technique. The gallbladder is mildly distended without calculi. Gallbladder wall is normal in thickness.Common bile duct measures 10 mm near the head of the pancreas. Minimal intrahepatic central biliary ductal dilatation. Probable hepatic cyst in the left hepatic lobe.SPLEEN: No significant abnormality noted.PANCREAS: Pancreatic duct is normal in caliber. There is mild to moderate pancreatic atrophy.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Nephrosis.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Small amount upper abdominal ascites.
1.Common bile duct measuring up to a 1 centimeter in the head of the pancreas; the etiology of which is not evident. This may be physiologic in a patient over 50 years of age.2.Mild perihepatic ascites.3.Study was terminated per patient's request.