There are marked irregular intrahepatic biliary ductal dilatation in the right and left hepatic lobes most notably involving the right anterior and left medial hepatic segments. Innumerable intra-ductal different size filling defects calculi of low T2.
Proximal CBD is implicated with several calculi in its lumen (choledocholithiasis) is but the distal part of CBD is a normal calibre.
The gallbladder is folded, well distended and shows a homogenous signal and absence of gallbladder calculi.
The pancreatic duct is normal in course and calibre.
Reported by Dr Safwat Al Moghazi MD.