Status post cholecystectomy, elevated LFTs, evaluate for common bile duct stones ABDOMEN:LIVER, BILIARY TRACT: Status post cholecystectomy. Mild intrahepatic biliary duct dilatation. Dilated common bile duct, measuring up to 9 mm. No focus of signal void in CBD to suggest choledocholithiasis. Mildly undulating contour of liver, nonspecific. Diffuse signal loss on opposed phase imaging, consistent with hepatic steatosis. Small ascites, particularly in perihepatic area/Morison's pouch. Prominent portal veins and splenic vein, may be seen in setting of underlying portal hypertension. SPLEEN: Splenomegaly.PANCREAS: Pancreatic duct measures upper limits of normal, 3 mm. Pancreas divisum, a normal variant, suggested. Intrinsic T1 signal of pancreas preserved.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Tiny T2 hyperintense renal foci, most likely cysts. RETROPERITONEUM, LYMPH NODES: Prominent upper abdominal and retroperitoneal/left paraaortic lymph nodes, measuring up to 1 cm, similar to prior CT imaging.BOWEL, MESENTERY: Moderate stool burden, correlate clinically for constipation.BONES, SOFT TISSUES: Ventral abdominal postsurgical sequela. Mild subcutaneous edema. OTHER: Left base atelectasis.
1. Biliary ductal dilatation and mildly prominent pancreatic duct, no evidence of choledocholithiasis. No obstructing lesion delineated. Findings likely related to postcholecystectomy state with possible underlying benign stricture, may be further evaluated with ERCP. 2. Hepatic steatosis. 3. Portosplenic venous prominence and splenomegaly, suggestive of portal hypertension. 4. Small ascites. 5. Stable prominent lymph nodes. 