Medical Observations

Liver

• Normal in size with uniform density.
• No focal lesions or abnormal enhancement observed.
• Portal and hepatic veins appear normal.

Common Bile Duct (CBD)

• An obstructing distal end CBD calculus measuring approximately 7 x 5 mm is present at the ampulla of Vater.
• Associated with extra- and intrahepatic biliary dilatation.
• The CBD is dilated, measuring 12 mm in maximum diameter.

Gallbladder (GB)

• No radio-opaque calculi observed.

Pancreas

• Normal size and density.
• No calcification, obvious mass, or peripancreatic fluid collection.
• The pancreatic duct is not dilated.

Spleen

• Normal size and density.

Adrenals

• Both adrenals are normal in size and shape.

Right Kidney

• Measures 8.8 x 3.7 cm.
• Pelvicalyceal system not dilated.
• Ureter is not dilated, no calculus seen, and the vesico-ureteric junction appears normal.

Left Kidney

• Measures 8 x 3.6 cm.
• Pelvicalyceal system not dilated.

Retroperitoneum

• No mass or lymphadenopathy seen.

Peritoneal Cavity

• No free fluid present.
• No obvious bowel wall thickening or dilatation.
• Bowel loops filled with oral positive contrast.
• No evidence of acute appendicitis.

Bladder

• Normal with no evidence of diverticulum or calculus.

Uterus

• Normal condition.

Right Adnexa

• An irregular peripherally enhancing cystic lesion measures 23 x 21 mm.
• Likely a corpus luteal cyst.
• Minimal free fluid in the pouch of Douglas.

Left Ovary

• Normal condition.

Bones and Lungs

• No lytic or sclerotic lesions in visualized bones.
• Visualized lung fields are clear with no pleural effusion.

Abdominal Wall

• Appears normal.

Impression

• Distal end common bile duct calculus at ampulla of Vater with extra- and intrahepatic biliary dilatation.
• CBD is dilated, measuring 12 mm in maximum diameter.
• Right ovarian corpus luteal cyst.