79-year-old man with history of weight loss and dilated duct on CT. ABDOMEN:LIVER, BILIARY TRACT: Scattered hepatic cysts are seen including a 15 mm T2 hyperintense lobulated simple cyst (301/16). The gallbladder is normal. There is smooth extrahepatic biliary ductal dilatation to the level of the ampulla measuring up to 8 mm. No intraluminal filling defect noted.SPLEEN: No significant abnormality noted.PANCREAS: The pancreatic duct is dilated to the level of the ampulla. No parenchymal lesion is identified.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No hydronephrosis. No focal renal lesions seen.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Smooth dilation of the common bile duct and pancreatic duct to the level of the ampulla, but no intraluminal filling defect or extrinsic mass identified.