59 year-old female with hepatitis C. Evaluate for HCC. LIVER: Normal echogenicity of the liver measuring 16.7 cm in length. No focal hepatic lesions. Portal vein is patent with appropriate direction of flow; peak velocity measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: Gallbladder is distended. No pericholecystic fluid. No gallbladder wall thickening. Intra-and extrahepatic biliary ductal dilatation is noted. Common bile duct measures 1.2 cm in caliber. No evidence of choledocholithiasis.PANCREAS: Visualized portions of the pancreas are normal in echogenicity.RIGHT KIDNEY: Normal echogenicity measuring 10.7 cm in length. No hydronephrosis or shadowing calculi are noted.OTHER: Normal echogenicity of the spleen measuring 10.8 cm in length.Normal echogenicity of the left kidney measuring 9.2 cm in length. No hydronephrosis or shadowing calculi are noted.
Intra-and extrahepatic biliary ductal dilatation suspicious for obstruction in the distal common bile duct. Recommend MRI/MRCP for further evaluation.