Generalized abdominal pain. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in morphology, size and signal intensity. It measures 14.2 cm in the craniocaudal dimension. Note is made of a septated cyst in segment 8 and additional subcentimeter cysts. No suspicious liver lesion.Cholelithiasis within a distended gallbladder with mild gallbladder wall thickening.The common bile duct measures up to 1.4 cm, dilated. There are several dependent filling defects within the common bile duct consistent with choledocholithiasis. There is mild central intrahepatic biliary ductal dilatation.SPLEEN: The spleen is normal in size and signal intensity without a focal lesion.PANCREAS: The pancreas is normal in morphology, signal intensity and enhancement. No evidence of acute pancreatitis. The main pancreatic duct is normal in caliber.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral simple and minimally complex septated renal cysts. No hydroureteronephrosis.RETROPERITONEUM, LYMPH NODES: Tortuous abdominal aorta. No retroperitoneal lymphadenopathy measuring greater than 1 cm in short axis.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Rightward thoracolumbar scoliosis.OTHER: No significant abnormality noted.
1.Choledocholithiasis with biliary ductal dilatation.2.Cholelithiasis within a distended gallbladder with mild gallbladder wall thickening/pericholecystic fluid, suspicious for acute cholecystitis.