Female 57 years old Reason: 57F with h/o biliary stent - now with persistently elevated alk phos History: as above ABDOMEN:LIVER, BILIARY TRACT: Liver is normal in morphology. There is mild ductal dilatation involving the right hepatic lobe ducts. There are areas of narrowing involving the right hepatic lobe duct with possible areas of stricture formation. No definite choledocholithiasis. There is circumferential thickening of the common bile duct which possibly representing inflammation. The lack of intravenous contrast limits evaluation for solid hepatic lesions.SPLEEN: Spleen is enlarged.PANCREAS: No significant abnormality noted.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.Mild right intrahepatic biliary ductal dilatation with areas of stricturing.2.No specific evidence for choledocholithiasis.3.Circumferential wall thickening of the common bile duct possibly due to inflammation. Follow-up is suggested.4.Lack of intravenous contrast limits evaluation for solid hepatic lesions.