Male 23 years old Reason: PSC, eval for stricturing or lesions History: PSC ABDOMEN:LIVER, BILIARY TRACT: Multifocal biliary ductal stricturing and dilatation appears similar to prior exam, including strictures of the left hepatic and common ducts.T1 and T2 hypointense lesion which enhances and measures 10 mm (series 13/71), unchanged in size consistent with pseudoaneurysm. Segment 8 wedge-shaped T2 hyperintense region consistent with hepatic artery to portal vein fistula, unchanged. No suspicious hepatic lesions.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No evidence of peritoneal carcinomatosis.
1.Stable biliary tree findings consistent with PSC. No suspicious hepatic lesions.2.Pseudoaneurysm, and likely hepatic artery to portal venous fistula, unchanged in appearance.