74-year-old female with history of cholecystectomy, outside ultrasound showing biliary dilation. LIVER: Mild intrahepatic biliary ductal dilation. No focal hepatic lesions identified.GALLBLADDER, BILIARY TRACT: Status post cholecystectomy. Marked dilation of the common bile duct measuring up to 1.4 cm. No choledocholithiasis or discrete mass lesions are identified in the field of view of the examination. PANCREAS: The pancreatic body and tail are obscured by bowel gas. The visualized portions of the pancreas appear within normal limits. KIDNEY: No significant abnormalities noted.OTHER: 1.3 x 0.7 cm nonspecific peripancreatic lymph node.
Dilated common bile duct up to 1.4 cm and mild intrahepatic ductal dilation are somewhat greater than expected following cholecystectomy. Consider MRCP for further evaluation as warranted clinically. 