Reason: 74M with hx of biliary stricture History: biliary stricture. ABDOMEN:LIVER, BILIARY TRACT: Widening of the hepatic fissures and left hepatic lobe hypertrophy compatible with chronic liver disease, unchanged. Intrahepatic biliary ductal dilatation, left greater than right, is unchanged. Stricturing of the common bile duct from the junction of the right and left hepatic ducts extending to the mid duct is unchanged. Associated common bile duct wall thickening. Enhancement of the biliary ductal wall involving the right hepatic lobe. SPLEEN: Splenomegaly, unchanged. Extensive splenic varices, unchanged.PANCREAS: No significant abnormality noted. Pancreatic duct is normal in caliber.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 common bile duct stricture.2.Findings suggestive of chronic liver disease with associated portal hypertension, unchanged.