Male 57 years old Reason: 57 y/o M with pancreatitis eval for biliary stone History: belly pain LIVER: Liver is normal in appearance measuring 15.8 cm. No focal hepatic masses. No perihepatic fluid. Main portal vein is patent with normal directional flow and a peak velocity 23.5 cm/s.BILIARY TRACT: No intra or extrahepatic biliary ductal dilatation. No evidence of acute inflammation of the gallbladder. Gallbladder wall measures 1 mm. No gallstones. There is a small gallbladder polyp which measures 0.3 x 0.2 x 0.4 cm. Common bile duct is nondilated measuring 4 mm. No evidence of choledocholithiasis.PANCREAS: Head of the pancreas is normal in appearance without pancreatic ductal dilatation. Body and tail of the pancreas are obscured by overlying bowel gas.SPLEEN: Spleen is normal in appearance measuring 7.9 cmKIDNEYS: Normal cortical medullary differentiation. No hydronephrosis, shadowing calculi, or mass. Right kidney measures 10.3 cm. Left kidney measures 10.4 cm. OTHER: No significant abnormalities noted.
1.No evidence of choledocholithiasis as clinically questioned.2.Small, subcentimeter gallbladder polyp.