History of primary sclerosing cholangitis presents for stricture follow-up. ABDOMEN:LIVER, BILIARY TRACT: No focal liver lesion.Scattered mild intrahepatic biliary ductal stricturing and dilatation in both lobes of the liver with more focal stenosis involving Klatskin's point and the central left bile duct. Mild intrahepatic biliary ductal dilatation most notably in the lateral segment of the left hepatic lobe with mild atrophy. Long segment mild stricture of the common hepatic duct and the intrapancreatic portion of the common bile duct. There is mild postcontrast enhancement of the proximal common hepatic duct.The overall appearance is similar to the prior study.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.
Relatively stable appearance of the biliary tree with findings compatible with primary sclerosing cholangitis without a new dominant stricture or focal mass.