There is a 7 mm stone at the level of the duodenal papilla causing upstream intra and extra-hepatic biliary tree dilatation and main pancreatic duct dilatation, as previously demonstrated on the MRCP images. Metallic surgical clips of cholecystectomy in the gallbladder fossa. The liver and pancreas are otherwise unremarkable, with no suspicious lesions. A few scattered pancreatic parenchymal calcifications noted. No suspicious enlarged lymph nodes. Apart from a small calcified granuloma, the spleen has normal appearances. Adrenal glands, imaged portions of the kidneys and bowel loops are unremarkable. Pleural bases are clear. The left lower lobe pulmonary nodule measuring 7 mm is partially calcified.
Conclusion: Stone at the level of the duodenal papilla causing biliary tree and pancreatic duct dilatation as previously demonstrated in the MRCP study. No evidence of pancreatic malignancy. Left lower lobe pulmonary nodule has benign appearances and does not require further follow-up.