65 year-old male, precardiac transplant evaluation. LIVER: Coarse architecture of the liver measuring 15.4 cm in length. No focal hepatic lesions. Main portal vein is patent with appropriate directional flow; peak velocity measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: Normal echogenicity of the gallbladder. No gallbladder wall thickening. No pericholecystic fluid. There is a cystic structure measuring 4.7 cm x 5.3 cm x 4.7 cm which appears to arise from the common bile duct near the confluence of the common bile duct with the cystic duct consistent with a choledochocele and appears stable compared to prior CT study dated 3/11/2013. No intrahepatic biliary ductal dilatation. PANCREAS: Not well visualized in its entirety due to overlying bowel gas.SPLEEN: Normal echogenicity of the spleen measuring 10.4 cm in length.KIDNEYS: Right kidney measures 11.4 cm in length. No hydronephrosis or shadowing calculi are noted.Left kidney measures 11.8 cm in length. No hydronephrosis or shadowing wire noted.ABDOMINAL AORTA: Proximal aorta measures 2.8-cm x 2.6-cm. INFERIOR VENA CAVA: The visualized IVC is patent with appropriate directional flow.OTHER: No significant abnormality noted.
1. Coarse echotexture of the liver suggestive of parenchymal dysfunction/fatty infiltration. No focal hepatic lesions. 2. Findings are consistent with a choledochocele arising from the proximal common bile duct; stable. 