History of biliary cirrhosis. ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic liver morphology with geographic areas of T2 hypointensity and heterogeneous enhancement, appearing similar to the prior study.Multifocal irregular intra and extrahepatic biliary ductal dilatation compatible with history of PSC. The right and left intrahepatic ducts are again poorly seen proximal to Klatskin's point, unchanged. The common bile duct remains attenuated proximally and distally near the ampulla. No new dominant stricture or worsening ductal dilatation.Normal distended gallbladder.SPLEEN: Splenomegaly, measuring 17.5 cm in craniocaudal dimension.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Nonspecific mild periportal lymphadenopathy which is nonspecific in the setting of primary sclerosing colitis.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Findings compatible with primary sclerosing cholangitis without significant interval change or focal mass evident. 2.No acute abnormality identified.