MRI
Status post cholecystectomy, choledochoduodenostomy, and stent application showed:
- Marked intra- and extra-hepatic biliary radicle dilatation down to the anastomotic site. The applied stent is seen within the anastomotic site showing rather in an oblique orientation. The dilated proximal CBD and the proximal hepatic ducts show intraluminal biliary sludge and debris showing an intermediate signal on T2 WI.
- The CBD distally is collapsed.
- Normal MRI signal of the pancreas. The pancreatic duct is not dilated.
- Multiple enlarged porta-hepatis, porto-caval, and peripancreatic lymph nodes.