Patient underwent ERCP for stone removal. The common bile duct was felt to be completely clear of stones following the procedure. However, several small filling defects remain, indicating persistent choledocholiathiasis. The stone burden was quite large and perhaps some became displaced at the time of instrumentation, making complete extraction less feasible.
Vicarious excretion of contrast into the gallbladder.
The patient has developed interstitial edematous pancreatitis: enlargement of the pancreas, acute peripancreatic fluid/stranding.
New small ascites.