65-year-old female patient with history of nausea, vomiting, and abnormal LFTs. Evaluate for pancreatic biliary etiology and liver morphology. ABDOMEN:LIVER, BILIARY TRACT: There is mild intrahepatic and extrahepatic biliary ductal dilatation to the level of the ampulla. However, there is no stone or soft tissue lesion seen. Multiple nonenhancing probable hepatic cysts are too small to characterize.The gallbladder is distended and filled with sludge and gallstones.SPLEEN: No significant abnormality noted.PANCREAS: The pancreatic duct is diffusely dilated up to 4 mm.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Prominent left retroperitoneal lymph node measures 1.5 x 0.9 cm (series 3 image 8).BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Intra and extrahepatic biliary dilatation to the level of the ampulla without evidence of stone or obstructive soft tissue lesion. There may be a benign ampullary stricture. 2.Diffuse mild pancreatic duct dilatation.