Female 28 years old with abdominal pain. Evaluate for choledocholithiasis. ABDOMEN:LIVER, BILIARY TRACT: The liver measures 17 cm in length and has a smooth contour. There is no enhancing hepatic lesion. The hepatic vasculature is patent.Cholelithiasis without gallbladder distention, wall thickening or pericholecystic edema. Correlating with the same-day ultrasound is a 5 mm T2 hypointense filling defect within the distal common duct at the level of the pancreatic head with resulting mild common duct dilation up to 1 cm. There is no significant intrahepatic biliary ductal dilatation or pancreatic ductal dilatation.SPLEEN: No significant abnormality noted.PANCREAS: The pancreas enhances normally with no surrounding inflammatory changes. The pancreatic duct is not dilated.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No renal lesion or hydronephrosis.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.
Choledocholithiasis with mild common duct dilation up to 1 cm. No significant intrahepatic or pancreatic ductal dilatation.