No Intrahepatic Ductal Dilation in Surgery — 45yo Woman | General Surgery | SMLE Q#1357

SMLE Question #1357

Surgery General Surgery

Objective: OBJ-TRACH-EMERG-01

Last updated: February 2026
A 45-year-old woman is 7 days post laparoscopic cholecystectomy for symptomatic cholelithiasis. She reports mild right upper quadrant discomfort. She has no fever, jaundice, or vomiting. Ultrasound shows a small anechoic fluid collection in the gallbladder fossa and a common bile duct diameter of 9 mm with no intrahepatic ductal dilation. What is the most likely diagnosis?

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