History of primary sclerosing cholangitis/IPMN. Evaluate for cholangiocarcinoma. ABDOMEN:LIVER, BILIARY TRACT: Unchanged irregular beaded appearance of the intra- and extra- hepatic bile ducts, with stricturing at the common hepatic duct, proximal right and left hepatic ducts and the proximal common bile duct. Mild biliary dilatation is unchanged. No suspicious hepatic lesion is identified. Stable punctate segment 7 hepatic cyst.SPLEEN: No significant abnormality noted.PANCREAS: Stable punctate cystic lesions are better identified on prior MRI, probable sidebranch IPMNs.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral simple renal cysts.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.
Unchanged multifocal biliary strictures compatible with history of primary sclerosing cholangitis, with no suspicious hepatic lesion. 