History of fever, pain, nausea/vomiting, elevated LFTs, and elevated total bilirubin. Evaluate for cholangitis, choledocholithiasis. Past surgical history of cholecystectomy. ABDOMEN:LIVER, BILIARY TRACT: Liver is normal in signal intensity. No focal hepatic lesions are identified. The gallbladder is surgically absent. There is minimal intrahepatic biliary ductal dilatation centrally. The common hepatic duct is mildly prominent measuring up to 9 mm in diameter. No biliary strictures or definite biliary ductal stones are identified. There is a questionable filling defect within the common bile duct (series 51, image 28).SPLEEN: No significant abnormality noted.PANCREAS: The pancreas demonstrates normal ankle signal intensity. No focal pancreatic lesions identified. The pancreatic duct is normal in diameter.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: An intrauterine pregnancy is partially visualized in the lower abdomen.
1.Status post cholecystectomy with minimal intrahepatic biliary ductal exertion and mild extradural hepatobiliary ductal dilatation.2.Questionable tiny stone within the common bile duct.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.