Reason: PSC, eval for strictures History: Abdominal pain, PSC ABDOMEN:LIVER, BILIARY TRACT: There is volume loss of the right lobe, which may reflect underlying cirrhotic morphology. Areas of alternating biliary stricture and dilatation of the intrahepatic ducts appear similar to prior study in degree and distribution. Common bile duct is normal in appearance. There is stable smooth defect in the common hepatic duct, likely reflecting extrinsic compression from crossing vessel. No new areas of stricture or dilatation of the bile duct. No suspicious hepatic lesions is identified.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 significant abnormality noted.
1.Alternating biliary stricture and dilation widely throughout both lobes of liver typical of PSC, appearing similar to prior study. No evidence for new strictures or worsening biliary dilatation. NO mass lesions seen.