Female 59 years old Reason: bil dil seen on USG, please evaluate History: bil dil, HCV ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted. No gallstones. There is intra and extrahepatic biliary duct dilatation. The common duct measures 1.2 cm in transverse dimension and tapers toward the ampulla. No filling defect is identified.SPLEEN: There is no splenomegaly.PANCREAS: The pancreatic body is deviated to the right upper quadrant and is located to the right of the midline. The tail follows a more normal course extending towards the left upper quadrant. The left upper quadrant vasculature is similarly deviated. There is no pancreatic duct dilatation. There is loss of the normal intrinsic T1 hyperintense signal suggestive of chronic pancreatitis.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Prominent portacaval lymph nodes are nonspecific and can be seen in the setting of cirrhosis.BOWEL, MESENTERY: There is herniation of the majority of the stomach into the right chest which may represent a Bochdalek hernia. BONES, SOFT TISSUES: No significant abnormality noted.
1.Intra and extrahepatic biliary duct dilatation without filling defect or mass identified.2.There is herniation of the majority of the stomach into the right chest and deviation of the pancreatic body to the right upper quadrant and this anatomical variation may contribute to the biliary dilatation.3.Loss of normal T1 hyperintense pancreatic signal suggestive of chronic pancreatitis.4.Herniation of the majority of the stomach into the right chest consistent with a right-sided Bochdalek hernia.