43-year-old female patient with HCV cirrhosis, pancreatic cyst seen on prior MRI. Evaluate for HCC, pancreatic cyst. ABDOMEN:LIVER, BILIARY TRACT: Mild nodularity of the hepatic contour compatible with cirrhosis. No suspicious hepatic lesion is identified. There is no intrahepatic biliary ductal dilatation. Interval mild dilatation of the common bile duct measuring up to 7 mm in diameter up to a point within the distal common bile duct where there appears to be an obstructing stone (image 9, series 901). Cholelithiasis without evidence of acute cholecystitis. Patent hepatic vasculature.SPLEEN: Splenomegaly with the spleen measuring 19 cm in the craniocaudal dimension.PANCREAS: Stable pancreatic tail cyst measuring up to 9 mm without ductal dilatation, unchanged.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Prominent retroperitoneal lymph nodes likely secondary to chronic liver disease. BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Interval mild dilatation of the common bile duct secondary to an obstructing distal common bile duct stone.2.Cholelithiasis without evidence of acute cholecystitis.3.Cirrhotic morphology of the liver without suspicious hepatic lesion. Findings discussed with liver service prior to dictation. 