60 years, Female, Reason: elevated liver enzyme, r/o gallstone History: elevated liver enzyme, abd pain. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Moderate intrahepatic biliary ductal dilatation is slightly increased from the prior MRI but likely unchanged from the recent CT. Status post cholecystectomy. Common bile duct is dilated to 1.3 cm (801/11), previously 1.1 cm. No choledocholithiasis. No suspicious hepatic lesions.SPLEEN: No significant abnormality noted.PANCREAS: Prominent pancreatic duct.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Renal cysts are unchanged.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Postsurgical changes of gastric bypass.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Increased intrahepatic and extrahepatic biliary ductal dilatation, likely due to benign stricture at the level of the ampulla.