A common bile duct (CBD) measuring up to 5 mm is considered normal in most patients under age 60. Some references allow for up to 6 mm, especially post-cholecystectomy or in older individuals. Significant dilation (suggestive of obstruction) typically exceeds these measurements.
According to Rumack’s Diagnostic Ultrasound:
“The normal common bile duct measures up to 5–6 mm, with slight increases considered normal after cholecystectomy or with advancing age.”
[Reference:, Rumack CM, Wilson SR, Charboneau JW, Levine D. Diagnostic Ultrasound. 5th ed. Elsevier, 2017., AIUM Practice Parameter for Abdominal Ultrasound, 2020., ]
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