81-year-old female with CBD dilation and liver cysts on ultrasound. Rule out malignancy. Exam limitations are related to respiratory motion artifact and the paucity of intra-abdominal fat.ABDOMEN:LIVER, BILIARY TRACT: Few scattered simple hepatic cysts. No suspicious enhancing parenchymal lesions. There is stable tortuosity and mild dilatation of the common bile duct measuring 1.1 cm in diameter, and there is stable mild dilatation of the left intrahepatic bile duct. No obstructing lesion is identified. Elongated gallbladder containing tiny stones.SPLEEN: No significant abnormality noted.PANCREAS: Pancreatic duct is mildly dilated at the ampulla. No obstructing lesion is identified.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Simple left upper pole renal cyst.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Thoracolumbar scoliosis. Artifact from lower sternotomy wire.OTHER: No significant abnormality noted.
1.There is stable tortuosity and mild dilatation of the common bile duct measuring 1.1 cm in diameter, and there is stable mild dilatation of the left intrahepatic bile duct. No obstructing lesion is identified. May be due to stricture at the ampulla.2.Few simple hepatic cysts.