Obstruction of bile duct, malignant neoplasm of the pancreas. Evaluate for jaundice On call after hours exam performed.LIVER: The liver measures 16.1 cm in length. No focal liver lesions. Presumed pneumobilia is noted making evaluation of the intrahepatic bile ducts somewhat limited. These appear to be mildly dilated. Portal vein is patent with flow towards the liver on color Doppler imaging.GALLBLADDER, BILIARY TRACT: Gallbladder sludge and wall thickening. Patient did not have a sonographic Murphy sign. The common duct measured 5 mm in diameter; metal stent noted.PANCREAS: There is a mass in head of the pancreas measuring approximately 3.8 cm in diameter. Pancreatic duct appears dilated Correlation with cross-sectional imaging is advised.RIGHT KIDNEY: No hydronephrosis of either kidney.OTHER: Right pleural effusion.
Pancreatic mass with mild intrahepatic and pancreatic ductal dilatation. Correlation with CT or MRI is advised. Right pleural effusion. Gallbladder sludge.