Female 51 years old Reason: hx of cholangioCA multiple PTC drains, cholangitis History: as above ABDOMEN:LIVER, BILIARY TRACT: Liver is normal in morphology with patent hepatic and portal vessels. There is thickening of the right and left hepatic bile duct system suggestive of a ongoing cholangitis. There is mild intrahepatic biliary ductal dilatation. The biliary enteric anastomosis is patent. The circumferential thickening of the duct near the anastomosis.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Small renal cysts some with hemorrhagic or proteinaceous debris.RETROPERITONEUM, LYMPH NODES: Small upper abdominal retroperitoneal and mesenteric lymph nodes.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No drainable fluid collections.
1.Findings compatible with ongoing cholangitis with mild intrahepatic biliary ductal dilatation.2.Circumferential thickening of the bile duct.