82-year-old female with fevers, abdominal pain, transaminitis. History of cholecystectomy several years ago. ABDOMEN:LIVER, BILIARY TRACT: Status post cholecystectomy. Multiple large filling defects within the common bile duct compatible with choledocholithiasis. No abnormal enhancement of the biliary system. No suspicious hepatic lesions.SPLEEN: No significant abnormality noted. Splenule is present. PANCREAS: Pancreatic divisum is present. ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral simple, hemorrhagic, and proteinaceous cyst. No abnormal enhancementRETROPERITONEUM, 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.Multiple large filling defects within the common bile duct compatible with choledocholithiasis. No convincing evidence of cholangitis. 2.Pancreatic divisum.