History of PSC. ABDOMEN:LIVER, BILIARY TRACT: Demonstrated again is markedly irregular beaded dilatation and narrowing of the intra and extrahepatic biliary system. The common bile duct measures up to 8 mm, unchanged. No new dominant stricture or focal lesion is identified. Normally distended gallbladder without gallstones or choledocholithiasis. No abnormal bile duct enhancement.The vessels are patent.SPLEEN: The spleen is normal in morphology and size without a discrete lesion.PANCREAS: The accessory duct is directed towards the main pancreatic duct (series 8 image 24 and series 9 image 18) suggesting normal variant ansa pancreatica. The pancreatic parenchyma is normal in morphology and signal intensity. Normal pancreatic duct caliber.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Right renal superior pole simple cyst.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.
No significant change in the multifocal biliary ductal dilatation and stricturing of PSC without evidence of a dominant stricture, thickened biliary ductal walls or focal hepatic mass.