33-year-old male with ulcerative colitis and primary sclerosing cholangitis. Assess for stricturing or suspicious lesions. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in size and contour. Subcentimeter T2 hyperintense focus in hepatic segment one that begins to fill in on delayed postcontrast images compatible with slow filling hemangioma, unchanged. No focal suspicious hepatic lesion is identified. The gallbladder is normally distended without cholelithiasis.There is mild dilation of the intrahepatic bile ducts and the common duct. The common duct measures up to 11 mm with smooth tapering near the level of the ampulla suggestive of distal common bile duct stricture, unchanged. There is mild scattered intrahepatic biliary ductal dilatation and extensive areas of bleeding of the intrahepatic biliary ducts, configuration is not significantly changed since the previous exam. No abnormal biliary ductal enhancement.The hepatic vasculature is patent.SPLEEN: No significant abnormality noted.PANCREAS: The pancreas enhances normally. No pancreatic ductal dilatation.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No hydronephrosis. Symmetric renal enhancement without focal lesion.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 mild intrahepatic and common bile duct dilation with suggestion of stricture near the level of the ampulla.2.Areas of intrahepatic biliary beading the configuration of which is not significantly changed.