Reason: choledocholithiasis History: RUQ pain ABDOMEN:LUNG BASES: Trace left and minimal right pleural effusions are present.LIVER, BILIARY TRACT: Cirrhotic liver morphology. There is marked extrahepatic and mild intrahepatic biliary ductal dilatation, with common duct measuring up to 1.6 cm. Round filling defect in the distal common bile duct measures 1.8 x 1.0 cm suggests choledocholithiasis (best seen on series 701, image 19). Findings of adenomyomatosis in the gallbladder are redemonstrated.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Right renal cyst. Otherwise no suspicious focal renal lesion on limited imaging.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Choledocholithiasis. Common duct stone measures up to 1.8 cm. 2.Intra- and extrahepatic biliary ductal dilatation, as above.3.Cirrhotic liver morphology.