History of Crohn's disease and portal vein thrombosis. ABDOMEN:LIVER, BILIARY TRACT: The liver measures 15.7 cm in craniocaudal dimension. It is normal in contour and morphology.There are small cystic structures adjacent to the central biliary tree which appear to communicate with the biliary tree likely representing small peribiliary cysts. In addition there is mild irregularity and narrowing of the biliary tree centrally and of the proximal hepatic duct which raises the possibility of PSC. No suspicious focal lesion or dominant stricture.There is chronic thrombosis of the portal vein with cavernous transformation including large collateral periportal vessel formation.No suspicious liver lesion.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: Postsurgical changes of the bowel are partially imaged. The colon is full of fluid. The presumed neoterminal ileum is collapsed and suboptimally evaluated.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Chronic portal vein thrombosis with cavernous transformation.2.Mild irregular narrowing of the biliary tree raises the possibility of PSC. No suspicious focal lesion or dominant stricture.