Female 49 years old with biliary colic. Evaluate for choledocholithiasis. ABDOMEN:LIVER, BILIARY TRACT: The liver measures 20 cm in length. Small stones are present within the gallbladder. There is a filling defect within distal common bile duct compatible with an impacted stone. No intra or extrahepatic biliary ductal dilatation.There is a 1.0 x 0.6 cm segment 7 lesion which is bright on T2 with peripheral, nodular discontinuous enhancement consistent with hemangioma. SPLEEN: Splenomegaly.PANCREAS: The pancreas enhances homogeneously. The pancreatic duct is mildly dilated near the ampulla.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Left lower quadrant ostomy is noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Choledocholithiasis with no significant biliary ductal dilatation. The distal pancreatic duct is mildly dilated near the ampulla.Findings discussed with Dr. Anyane-Yeboa by phone at 11:22 on 11/28/2016.