15-year-old female patient with transaminitis with elevated GGT. Evaluate for PSC.EXAMINATION: MRI/MRCP of the abdomen without and with IV contrast 5/1/2015 ABDOMEN:LIVER, BILIARY TRACT: No focal hepatic lesion is identified. No intra- or extrahepatic biliary ductal dilatation. No filling defect is identified in the common bile duct. No gallstones are seen.SPLEEN: The spleen is normal in appearance.PANCREAS: The pancreas is normal in appearance.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Normal enhancement of the kidneys without evidence of hydronephrosis.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY:No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: A one centimeter high T2 signal lesion is noted in the right breast.
1. No evidence of intra- or extrahepatic biliary ductal dilatation.2. Small high T2 signal lesion in the right breast may represent a cyst or lymph node; further evaluation with ultrasound may be considered if clinically warranted.