43-year-old male with primary sclerosing cholangitis who presents for evaluation of dominant stricture or dilatation. Evaluate for hepatic lesions as well. ABDOMEN:LIVER, BILIARY TRACT: No significant interval change in the minimal irregularity of the intrahepatic biliary ducts, most prominent at the confluence of the common hepatic duct. Sites of mild focal intrahepatic biliary ductal dilatation is stable and may reflect adjacent focal areas of stricturing. No suspicious hepatic mass. Patent hepatic vasculature. Minimal gallbladder sludge. 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 exam with sites of mild ductal irregularity and intrahepatic biliary duct dilatation, see discussion above.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.