54 years, Male, Reason: biliary strictures? History: elevated alk phos. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cirrhotic liver morphology. No suspicious hepatic lesions. Focal decreased T1 signal within the caudate likely reflects iron deposition.Status post cholecystectomy. Prominent common bile duct measuring up to 1.1 cm with dilatation of the cystic duct stump. The common bile duct tapers to the ampulla which may represent a benign structure. Mild intrahepatic biliary ductal dilatation.SPLEEN: Splenomegaly.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Simple left upper pole cyst is unchanged.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Esophageal varices.OTHER: Mild perihepatic ascites.
1.Mild intrahepatic and extrahepatic biliary ductal dilatation with tapering of the common bile duct to the ampulla, which may represent a benign stricture.2.Cirrhotic liver with splenomegaly, esophageal varices and mild perihepatic ascites. No suspicious hepatic lesions.