50 years, Male, Reason: Hx of common bile duct dilation on MRCP, CBD stricture, chronic pancreatitis, jaundice, ascending cholangitis History: Jaundice. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There is a focal T2 hyperintense lesion in the left hepatic lobe which is not seen on T1 precontrast or postcontrast sequences, possibly a cyst but findings nonspecific/of uncertain clinical significance. No suspicious hepatic lesion evident otherwise. Loss of signal on out of phase images suggest diffuse hepatic steatosis.Mild irregularity and narrowing of the proximal intrahepatic bile ducts. The common bile duct appears normal without dilatation or stenosis.SPLEEN: No significant abnormality noted.PANCREAS: Normal-appearing pancreatic duct. Previously seen pancreatic stent is not visualized, possibly removed. No evidence of pancreatic divisum. Normal parenchymal signal without focal lesion evident.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: 1.4-cm right renal hemorrhagic cyst. Simple 1.2-cm left renal cyst.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Mild narrowing of the proximal intrahepatic bile ducts without dilatation. Common bile duct itself is normal without evidence of stricture.2.No evidence of cholangitis as clinically questioned.3.No findings of chronic pancreatitis.