There was dilation in the common bile duct and the cystic duct, which measured 12 mm. The cut-off is right at the beginning of its intrapancreatic portion. Extensive hyperechoic material consistent with sludge was visualized endosonographically in the common bile duct, the cystic duct, and the gallbladder. The peri-ampullary portion of the biliary duct and the pancreatic duct was intact, without dilation. 