46-year-old woman with history of pancreatitis and choledocholithiasis. ABDOMEN:LIVER, BILIARY TRACT: The liver appears normal. There is mild intrahepatic biliary duct dilatation. The gallbladder is distended and there are multiple layering stones. There is no gallbladder wall thickening or pericholecystic fluid. The common bile duct is dilated up to 9 mm and tiny stones are seen in the distal common bile duct (series 501, images 22/23). SPLEEN: The spleen appears normal.PANCREAS: There is mildly increased signal in the pancreatic parenchyma suggesting edema. The pancreatic duct is mildly prominent to the level of the ampulla.ADRENAL GLANDS: The adrenal glands are normal.KIDNEYS, URETERS: A right upper pole parapelvic cyst is noted. The kidneys are otherwise normal and enhance symmetrically.RETROPERITONEUM, LYMPH NODES: No significant lymphadenopathy noted. Of note, a strut of the IVC filter is seen in the aorta.BOWEL, MESENTERY: Partially visualized small bowel and colon are normal.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Tiny gallstones in the distal common bile duct with mild intrahepatic and pancreatic duct dilatation.2.IVC filter strut in the aorta.3.Findings discussed with Dr. Chapman and Kathleen Tepe, PA by phone at 17:16 on 10/27/15.