79-year-old male with history of biliary ductal dilatation on recent CT. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No intrahepatic biliary ductal dilation. The common bile duct measures up to 8 mm, borderline. No filling defects or masses are identified. Smooth tapering near the ampulla.Cholelithiasis. Mild signal dropout on out of phase imaging compatible with mild hepatic steatosis.SPLEEN: Status post splenectomy.PANCREAS: There is fullness and enlargement of the uncinate process. No abnormal enhancement or masses are appreciated. The proximal pancreatic duct is dilated measuring up to 7 mm with abrupt transition near the ampulla. The distal pancreatic duct appears normal. No filling defects or masses are appreciated.ADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality notedRETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality notedOTHER: Right lower abdominal wall ostomy with parastomal hernia.Left upper quadrant mesenteric nodule measures 1.8 cm and likely represents a splenule.Ectatic ascending aorta.Subcutaneous edema in the lower back.
Borderline dilated common bile duct with smooth tapering near the ampulla with no masses or filling defects identified. Dilated proximal pancreatic duct with abrupt tapering near the ampulla. While there is fullness and enlargement of the uncinate process, no abnormal enhancement or masses are appreciated, but an underlying malignancy cannot be entirely excluded. An endoscopic ultrasound is recommended.