20-year-old male patient with ulcerative colitis and likely primary sclerosing cholangitis. Nausea, abdominal cramping, frequent bowel movements. ABDOMEN:LIVER, BILIARY TRACT: There is minimal intrahepatic biliary ductal dilatation. While this may be an early sign of primary sclerosing cholangitis, the ducts do not appear irregular and there is no dominant stricture. No suspicious hepatic lesion is identified. The common bile duct is normal in diameter. The gallbladder is unremarkable.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: No significant abnormality noted.BOWEL, MESENTERY: No evidence of bowel obstruction. The distal transverse and descending colon are decompressed.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Minimal intrahepatic biliary ductal dilatation which could represent early disease although there is no irregularity of the bile ducts or dominant stricture or suspicious hepatic lesion.2.Otherwise, no acute abnormality identified within the abdomen.