Male 17 years old Reason: History of PSC, MRCP to evaluate for worsening disease and biliary sludge involving the pancreatic neck as seen on outside ultrasound. History: History of PSC with elevated LFTs, abdominal pain. ABDOMEN:LIVER, BILIARY TRACT: There is marked dilatation of the common hepatic duct, with beaded appearance extending into the left and right hepatic ducts as well, increased from prior exam. Abrupt transition of dilatation, with no discrete mass or stone identified. Favor stricture as etiology. Gallbladder is distended, new from prior exam.SPLEEN: No significant abnormality noted.PANCREAS: No pancreatic ductal dilatation. Normal parenchymal appearance.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.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.
1.Interval development of marked intrahepatic biliary ductal dilatation and gallbladder distention, with abrupt transition in common hepatic duct. No mass or stone identified, favor stricture as etiology.