73-year-old female with right upper quadrant pain, history of Roux-en-Y ABDOMEN:LIVER, BILIARY TRACT: No focal liver lesions are present.The gallbladder is mildly distended with layering cholelithiasis. There is mild thickening/edema of the gallbladder wall. There is choledocholithiasis with dilation of the common bile duct measuring up to 11 mm. At least two stones are visualized measuring up to 5 mm. There is mild enhancement of the bile duct walls. There is no intrahepatic biliary ductal dilatation. The pancreatic duct is normal in caliber.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral renal cysts with the largest measuring 3.8 x 2.8 cm and the right superior pole. Mild mucosal enhancement of the left upper pole calyx. RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Small ventral abdominal rectus defect in the left paramedian region.OTHER: No significant abnormality noted.
1.Choledocholithiasis as described above. 2.Cholelithiasis with mild gallbladder distention and wall edema/thickening without pericholecystic fluid. No overt evidence of acute cholelithiasis.3.Mild mucosal enhancement of the left upper pole calyx. Findings may reflect inflammation, infection, or possibly neoplasm. Correlate for hematuria or atypical cells in urine. 