Reason: Evaluate for PSC History: Recent MRI/MRCP with narrowing of the proximal common bile duct. ABDOMEN:LIVER, BILIARY TRACT: Diffuse hepatic steatosis, unchanged. Geographic areas of T2 hyperintense signal and hyperenhancement likely due to fibrosis, unchanged. Previously seen hemangioma is not visualized on today's exam. Focal stricturing at the proximal common bile duct is unchanged. No intrahepatic or extrahepatic biliary ductal dilatation. The right hepatic duct again is poorly visualized. 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.Stable minimal narrowing of the proximal common bile duct and poor visualization of the right hepatic duct. No new areas of stricturing or dilatation. 2.Hepatic steatosis and fibrosis without suspicious focal lesion. Previously seen probable hemangioma is not visualized on today's examination.