Reason: 61 yo F with CBD dilation noted on CT abdomen, ? CBD dilation or stone ? Evidence of acute cholangitis History: CBD dilation on CT. No nausea/vomiting/abdominal pain Examination somewhat limited by overlying bowel gas and limitations positioning patient.LIVER: The liver measures 21 cm in length. The liver parenchymal echotexture is normal. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.26 m/s.BILIARY TRACT: Contracted gallbladder which somewhat limits evaluation. No gallbladder wall thickening. The sonographic Murphy's sign is negative. The common bile duct is dilated measuring up to 12 mm in diameter until the region of the pancreatic head where there is a shadowing focus compatible with a common bile duct stone. No significant intrahepatic biliary ductal dilatation is seen.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas. The visualized proximal pancreatic duct is nondilated.SPLEEN: No significant abnormalities noted. The spleen measures 11.5 cm in length. RIGHT KIDNEY: Kidney measures 11.9 cm in length. Increased renal echogenicity with multiple small cysts.LEFT KIDNEY: Kidney measures 11.1 cm in length. Increased renal echogenicity with multiple cysts.OTHER: No significant abnormalities noted.
1.Choledocholithiasis with stone in the common bile duct as seen on prior CT with associated dilation of the common bile duct.2.Mild hepatomegaly.3.Echogenic kidneys with multiple cysts compatible with medical renal disease.Findings discussed with SWEI, ERIC at 3:30 PM on 12/12/2016