Female, 15 years old. RUQ pain, cholelithiasis on US. LIVER, BILIARY TRACT: There is intrahepatic and extra hepatic biliary ductal dilatation, with the common bile duct measuring up to 11 mm in diameter. An 8 mm obstructing stone is seen within the common bile duct distal to the cystic duct and just superior to the level of the pancreatic head. Distal to this level, the common bile duct is normal in caliber. An additional stone is noted within the gallbladder, without gallbladder wall thickening or surrounding edema. No focal hepatic lesions.SPLEEN: No significant abnormality noted.PANCREAS: The pancreatic duct is normal in caliber.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: The kidneys enhance symmetrically, without focal lesion or hydronephrosis. No obstructing urinary stone.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No abnormal bowel wall thickening or evidence of obstruction. No free intra-abdominal air or abnormal free fluid.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Obstructing common bile duct stone. No evidence of acute cholecystitis.