40 year old female patient with abnormal LFTs, abdominal pain. Assess for biliary pathology. ABDOMEN:LIVER, BILIARY TRACT: There is cholelithiasis without evidence of acute cholecystitis. The common bile duct is dilated up to 12 mm in diameter to the level of the ampulla. There are multiple round foci of signal void within the distal common bile duct compatible with multiple stones; at least four stones are identified (image 17, series 301). There is mild intrahepatic biliary ductal dictation.SPLEEN: There are accessory splenules.PANCREAS: The main pancreatic duct is not dilated.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.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.
1. Choledocholithiasis within the distal common bile duct with intra- and extrahepatic biliary ductal dilatation.2. Cholelithiasis without evidence of acute cholecystitis. 