Reason: Elevated lipase and ALP, abd pain. R/o PSC. History: Elevated lipase and ALP, abd pain. Hx of Crohn's. R/o PSC. ABDOMEN:LIVER, BILIARY TRACT: No focal hepatic lesions. Noncirrhotic morphology.There is mild narrowing of the at the junction of the distal intrahepatic ducts and proximal common hepatic duct. The remainder of the common bile duct is normal in caliber. No intrahepatic biliary ductal dilatation.SPLEEN: No significant abnormality noted.PANCREAS: Pancreas parenchyma appears normal. Main pancreatic duct is nondilated. No focal lesions within the pancreas.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: The lower pole T2 hyperintensity, likely a 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.
Mild biliary narrowing at the Klatskin point which is nonspecific. The common bile duct and intrahepatic ducts are otherwise unremarkable. No focal hepatic lesions.