62 year old female patient with recent abnormal CT showing biliary ductal dilatation to the ampulla. Evaluate for any discrete mass or abnormalities. ABDOMEN:LIVER, BILIARY TRACT: There is cholelithiasis without evidence of acute cholecystitis. There is mild intra and extrahepatic biliary ductal dilatation. The common bile duct measures up to 9 mm in diameter, which is decreased from the prior exam. There is no obstructing lesion.There is a right hepatic cyst.SPLEEN: No significant abnormality noted.PANCREAS: The pancreatic ductal diameter is within normal limits.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: There is a left renal cyst and left renal cortical scarring.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: There is a subcentimeter enhancing focus in the right breast.OTHER: Post-surgical changes of an aorto-bifemoral bypass with a surrounding collection, which is better visualized on prior CT.
1.Interval decreased intra- and extrahepatic biliary ductal dilatation without evidence of obstruction or mass lesion. 2.Cholelithiasis without evidence of acute cholecystitis. 3.Enhancing focus in the right breast; correlate with mammography. 