46-year-old male with history of primary sclerosing cholangitis. Patient presents for cholangiocarcinoma screening. ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic morphology of the liver without evidence of a suspicious mass. Unchanged regions of right hepatic lobe fibrosis. Irregular biliary ductal beading and intrahepatic strictures compatible with patient's known history of primary sclerosing cholangitis is again seen. The confluence of the hepatic ducts is diminutive in caliber. No dominant stricture is identified.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted. ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Subcentimeter left renal cyst is again 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.No significant interval change in biliary ductal irregularity compatible with known primary sclerosing cholangitis.2.Cirrhotic hepatic morphology without interval development of a dominant stricture, biliary ductal dilatation or suspicious hepatobiliary lesions.