History of cholecystectomy with increasing CBD dilation to 1.4 cm, nonspecific abdominal pain. ABDOMEN:LIVER, BILIARY TRACT: The liver enhances homogeneously. No focal hepatic lesion is identified. Patient is status post cholecystectomy. There is extrahepatic biliary ductal dilatation, with the common duct measuring up to 15 mm in diameter. Minimal central intrahepatic ductal dilatation is seen. No choledocholithiasis.SPLEEN: No significant abnormality noted.PANCREAS: Pancreas is atrophic. No pancreatic ductal dilatation is identified. No suspicious pancreatic lesion is identified.ADRENAL GLANDS: No adrenal nodularity or thickening.KIDNEYS, URETERS: No focal renal lesion.RETROPERITONEUM, LYMPH NODES: No significant retroperitoneal lymphadenopathy.BOWEL, MESENTERY: Large colonic stool burden. Correlate for history of constipation.BONES, SOFT TISSUES: Partially imaged posterior spinal stabilization of the lower lumbar spine. There is lateral listhesis of the lumbar vertebra superior to the orthopedic hardware.OTHER: No significant abnormality noted.
Extra hepatic biliary ductal dilatation likely attributable to cholecystectomy in absence of other identifiable cause. No pancreatic head lesion or choledocholithiasis.