Status post OLT with increasing LFTs and dilatation of common bile duct seen on sonography ABDOMEN:LIVER, BILIARY TRACT: Marked extrahepatic and moderate intrahepatic biliary duct dilatation. Common bile duct measures up to 1.5 cm, at midportion, at this level also somewhat kinked in appearance and beyond this point tapers to 0.9 cm, however duct remains widely patent. No intraluminal signal void seen to suggest choledocholithiasis. Patent portal veins, splenic vein and SMV. Visualized hepatic arteries patent.SPLEEN: No significant abnormality noted.PANCREAS: Mildly prominent pancreatic duct but within normal limits.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Small renal T2 hyperintense foci, most likely cysts.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES, OTHER: Small right pleural effusion. Mild cardiomegaly.
1. Moderate to marked biliary ductal dilatation as above, with common bile duct measuring 1.5 cm at midportion and tapering to 0.9 cm til level of ampulla, no obstructing lesion delineated, findings may be related to a benign distal stricture, correlation with patient's history/laboratory values and further evaluation with ERCP recommended. No evidence of choledocholithiasis. 2. Small right pleural effusion.