61-year-old male patient with cirrhotic liver morphology and lymph node seen on ultrasound. ABDOMEN:LIVER, BILIARY TRACT: There is mild intrahepatic biliary ductal dilatation. There is extrahepatic biliary ductal dilatation to the level of the ampulla, measuring up to 1.6 cm in maximal diameter in the common hepatic biliary duct and 1.1 cm in the common bile duct. No stone or enhancing lesion is seen at the level of the ampulla. Mild iron deposition is noted.Gallbladder containing gallstones.Hepatic vasculature is patent. No suspicious enhancing lesions in the liver parenchyma.SPLEEN: No significant abnormality noted.PANCREAS: The pancreatic duct in the head and neck is mildly dilated and measures up to 5 mm in maximal dimension. No mass is seen in the pancreas.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Subcentimeter T2 hyperintense lesions in the bilateral kidneys most likely represent cysts.RETROPERITONEUM, LYMPH NODES: Lymph node at the porta hepatis measures 2.2 x 1.1 cm (series 601 image 18).BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Mild intrahepatic biliary ductal dilatation and extrahepatic biliary ductal dilatation to the level of the ampulla without evidence of obstructive stone or enhancing mass. These findings are suggestive of a benign stricture at the level of the ampulla.2.Stable lymph node at the porta hepatis.