Multiple multifaceted stones are demonstrated within the common bile duct. The largest of these measures 1.3 x 1.3 cm and causes bile duct dilatation proximally. The common bile duct measures up to 1.4 cm. At least two further stones are seen proximal to this, and at least a further three stones distal to this. The gallbladder contains numerous stones and sludge.
Note is made of a low insertion of the cystic duct. Mild intrahepatic bile duct dilatation is observed. No focal liver lesion. The pancreas appears atrophic with no pancreatic duct dilatation.
There is a right sided cortical renal mass lesion measuring 6.3 x 5.0 cm, containing elements of blood. Appearances are most suspicious for a renal cell carcinoma. Left parapelvic renal cyst. Normal adrenals. No para-aortic nodes.