31 year old male with incidental hyperechoic liver lesion detected on recent ultrasound and history of inflammatory bowel disease. ABDOMEN:LIVER, BILIARY TRACT: The lesion in the left hepatic lobe seen on prior ultrasound is not visualized, and no other suspicious hepatic lesions are seen. Mild nonspecific arterial hyperenhancement involving the biliary tree normalizes on later postcontrast sequences. Mild intrahepatic ductal dilatation, as well as mild dilatation of the CBD to 10 mm are noted. No dominant stricture. Patent hepatic vasculature. 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: Several prominent periportal lymph nodes. BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.No suspicious focal hepatic lesions. Specifically, the lesion seen in the left hepatic lobe on prior ultrasound is not visualized. 2.Mild biliary ductal dilatation and nonspecific arterial enhancement involving the biliary tree that normalizes on subsequent postcontrast sequences. Given the imaging findings and patient's history of inflammatory bowel disease, primary sclerosing cholangitis (PSC) is a differential consideration. 