History of Crohn's disease admitted with abdominal pain. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in morphology, size and signal intensity. No intra or extrahepatic biliary ductal dilatation. No focal suspicious lesion.The gallbladder is normally distended with a large gallstone at the gallbladder body/neck junction. No gallbladder wall thickening or pericholecystic fluid. No choledocholithiasis, discrete stricture or mass lesion. SPLEEN: The spleen is normal in size and morphology without a focal lesion.PANCREAS: The pancreas is normal in morphology and size without a focal lesion. Normal main pancreatic duct caliber draining into the major papilla. ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Mild scoliosis. Partially imaged pelvis demonstrates endometrial thickening within physiologic limits. Small volume of free pelvic fluid is within physiologic limits. Sacral Tarlov cysts are noted.
Gallstone at gallbladder body/neck junction of a normally distended gallbladder without specific findings of acute cholecystitis or biliary ductal dilatation. No choledocholithiasis, discrete stricture or lesion is evident. The findings seen on the patient's HIDA scan may reflect ampullary stenosis. 