62 year old female patient with PSC. Cholangiocarcinoma screening. ABDOMEN:LIVER, BILIARY TRACT: Multifocal, irregular stricturing within the intrahepatic right and left biliary ducts is not significantly changed. The common bile duct is irregular with a long segment stricture distally, appearing similar to the prior study. There is mild intrahepatic biliary ductal dilatation. Peripheral T2 hyperintensity in the right hepatic lobe with delayed enhancement likely represents confluent fibrosis. There is mild delayed enhancement of scattered biliary ducts, which is compatible with primary sclerosing cholangitis. No suspicious hepatic lesion is identified to suggest cholangiocarcinoma. The hepatic vasculature is patent.SPLEEN: There is an accessory splenule. PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Multiple right renal cysts, including one with a septation, are stable.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.Grossly stable intra- and extrahepatic biliary stricturing compatible with primary sclerosing cholangitis.2.No suspicious hepatic lesion to suggest cholangiocarcinoma. 