64-year-old male with elevated alkaline phosphatase, mild transaminase elevation ABDOMEN:LIVER, BILIARY TRACT: Normal liver contour. Peripherally calcified lesion measuring 2.1 x 1.7 cm in the dome of the right lobe of the liver, segment eight is unchanged from exam dated 4/26/2014. Mild intrahepatic biliary ductal dilatation. Common bile duct measures 6 mm. Distended gallbladder and cholelithiasis without evidence of cholecystitis. There are two small apparent filling defects in the distal common bile duct (series 8, image 82; series 9, image 4). SPLEEN: Trace fluid around the spleen. PANCREAS: Thinning of the pancreatic parenchyma at the proximal body may reflect focal atrophy versus normal variant. The main pancreatic duct is normal in caliber.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Left renal cyst it is unchanged. No hydronephrosis.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No evidence of obstruction. T2 hyperintense lesion adjacent to a loop of small bowel may represent a fluid filled diverticulum versus enteric duplication cyst. No evidence of complication. BONES, SOFT TISSUES: Compression deformity of the T12 vertebral body with greater than 50% loss of height anteriorly. Grade 1 anterolisthesis of L4 on L5. Mild superior endplate compression deformity of the L5 vertebral body.OTHER: No significant abnormality noted.
1.Mild intrahepatic biliary ductal dilation. Two small apparent filling defects in the distal common bile duct are inconclusive although tiny nonobstructing stones not entirely extruded. No CBD dilation. 2.Cholelithiasis without evidence of cholecystitis. 