Prominent extrahepatic biliary ducts and pancreatic duct seen on recent CT, evaluate for biliary obstruction. ABDOMEN:LIVER, BILIARY TRACT: The liver demonstrates normal parenchymal signal. A few cysts are present within the posterior right hepatic lobe measuring less than 5 mm. An additional 6 mm cyst is present within segment 1. No suspicious focal hepatic lesions are identified. The gallbladder is within normal limits without cholelithiasis. There is no intrahepatic biliary ductal dilatation. The common bile duct is mildly prominent in caliber measuring up to 5 mm. There is short segment of mild, smooth narrowing of the distal most common bile duct just proximal to the ampulla (series 801, image 82). There are no visualized discrete masses or signal abnormalities associated with the narrowing.SPLEEN: No significant abnormality noted.PANCREAS: The pancreas demonstrates normal parenchymal signal intensity. The pancreatic duct is mildly prominent most pronounced in the pancreatic head where measures 5 mm. No obstructing lesions or stones are identified.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Small mesenteric lymph nodes as well as haziness and nodularity of the peritoneum within the left lower quadrant are again identified appearing similar to recent CT.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Minimal prominence of the pancreatic duct measuring up to 5 mm without obstructing stones or lesion identified.2.Mild prominence of the common bile duct which may be due to short segment distal common bile duct stricture/stenosis.3.Ampullary stenosis or lesion is not seen but is not entirely excluded and could be further evaluated with ERCP if clinically warranted.4.Peritoneal haziness and nodularity as seen on 12/3/2015 CT and which could be seen with peritoneal carcinomatosis, recommend correlation with tumor markers.