Female 73 years old status post History of Roux-en-Y hepaticojejunostomy with new transaminitis and elevated bilirubin. Evaluate for biliary obstruction. ABDOMEN:LIVER, BILIARY TRACT: No focal liver lesion or ascites. Status post Roux-en-Y hepaticojejunostomy. The common duct measures up to 7 mm in diameter. There is mild intrahepatic biliary ductal dilatation which has improved slightly compared to the prior outside exam. No biliary stones or other obstructing lesions identified. There are no intrahepatic biliary strictures. The hepaticojejunostomy is widely patent.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: There are numerous simple appearing bilateral renal cysts. No hydronephrosis.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Status post Roux-en-Y hepaticojejunostomy.BONES, SOFT TISSUES: T10 vertebral body hemangioma.OTHER: No significant abnormality noted.
Status post Roux-en-Y hepaticojejunostomy with no evidence of choledocholithiasis or biliary stricture.