History of ulcerative colitis and primary sclerosing cholangitis with worsening right upper quadrant pain. Several sequences mildly limited by patient motion artifact.ABDOMEN:LIVER, BILIARY TRACT: There is mild segmental narrowing of the right and left hepatic ducts just proximal to the confluence of the common duct appearing similar to prior. Additional mild scattered intrahepatic biliary ductal irregularity/beading overall appear slightly less prominent. Mild scattered intrahepatic biliary ductal dilatation appears not significantly changed. There is again slight tortuosity of the distal common bile duct without high-grade stenosis/stricture. No abnormal biliary duct enhancement is identified. The gallbladder is contracted.There is a subcentimeter T2 hyperintense structure within segment 4B which demonstrates discontinuous peripheral nodular enhancement and is compatible with a benign hemangioma. No additional focal hepatic lesions are identified. The hepatic vasculature appears patent. SPLEEN: No significant abnormality noted.PANCREAS: The pancreatic duct is nondilated.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Multiple subcentimeter cysts, significantly changed.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Findings consistent with early primary sclerosing cholangitis appearing similar to prior examinations.