Reason: assess pancreatic and cbd duct. please use gadolinium and secretin. History: rlq pain ABDOMEN:LIVER, BILIARY TRACT: Punctate T2 hyperintensities, likely cysts. Cholecystectomy.Mild intrahepatic biliary ductal dilatation. Dilatation of the common bile duct to the level of the ampulla up to 1.7 cm. There is likely ampullary stricturing. No obstructing lesion or stone.SPLEEN: No significant abnormality noted.PANCREAS: The main pancreatic duct is dilated to 7 mm.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral T2 hyperintense lesions, likely cysts.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Postsurgical changes of gastric bypass.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Dilatation of the common bile duct and main pancreatic duct proximal to an ampullary stricture, most likely benign. No obstructing lesion or stone is evident. 