31-year-old man with history of PSC strictures and cirrhosis. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in signal and morphology. No focal hepatic lesion is identified.The gallbladder is normal. Alternating areas of intrahepatic biliary stricturing and dilatation are again seen, similar to the prior examination. Of note, these areas of stricturing appear to affect the central and left hepatic lobe ducts.Hyperenhancement of the ducts is seen without mass or nodularity.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: Prominent portacaval nodes are noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Ventral incisional scar noted.OTHER: No significant abnormality noted.
1.Stable appearance of intrahepatic biliary narrowing and dilatation, similar to the prior exam, compatible with given history of PSC.2.Liver normal in signal and morphology without evidence of HCC or cholangiocarcinoma.