68-year-old male with small bowel obstruction secondary to adhesions with possible choledocholithiasis and cholelithiasis. LIVER: The liver is only partially visualized on this study with cirrhotic morphology seen on prior studies. There is no intrahepatic ductal dilation. The portal vein is patent with hepatopetal flow.BILIARY TRACT: The common bile duct measures 3 mm. The gallbladder wall measures 0.2 cm. Few small stones are seen within the gallbladder and minimal sludge. Negative sonographic Murphy sign. No pericholecystic fluid is seen.
Cholelithiasis without evidence of acute cholecystitis. No intrahepatic ductal dilation.