40-year-old female with rising bilirubin. Evaluate for obstruction. ABDOMEN: Moderate sized bilateral pleural effusions.LIVER, BILIARY TRACT: Hepatic steatosis without a focal hepatic mass. The common bile duct measuring approximately 8 mm, likely related to cholecystectomy. Mildly dilated intrahepatic biliary ductal system. No evidence of common bile duct stone or lesion.SPLEEN: No significant abnormality noted.PANCREAS: Severe pancreatic atrophy with evidence of calcifications, compatible with sequela of chronic pancreatitis.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Atrophic bilateral native kidneys. Partially visualized left iliac fossa transplant kidney.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Gastric band in appropriate orientation. However, there is persistent severe dilatation of the esophagus with debris. There is additionally a small pulsion diverticulum proximal to the band.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Mild intrahepatic biliary ductal dilatation without evidence of common bile duct stone or lesion.2.Severe esophageal dilatation with debris may be related to tight gastric band.3.Severe pancreatic atrophy and calcifications, compatible with sequela of chronic pancreatitis.4.Status post cholecystectomy.5.Hepatic steatosis without focal lesion.6.Atrophic bilateral native kidneys.