Male 59 years old; Reason: PSC, evaluate for cholangiocarcinoma History: same ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Accounting for differences in technique without significant change moderate degree intrahepatic biliary duct irregularity and narrowing at confluence of left and right hepatic ducts. Narrowing and luminal irregularity involving CBD (especially proximally) stable to mildly increased from earlier study. Similar to earlier study is focal mild dilatation of midportion of CBD measuring up to 6 to 7 mm, suspicious for element of prestenotic dilatation. No definite abnormal enhancement seen to suggest interval development of neoplasm. Unchanged subcentimeter T2 hyperintense hepatic segment 2 focus, difficult to reliably characterize due to small size but most likely a benign cyst.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Tiny right renal cyst.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Right lower quadrant intraluminal rounded increased T2 signal likely normal ileocecal valve.BONES, SOFT TISSUES: Small fat-containing umbilical hernia.OTHER: No significant abnormality noted.
Findings compatible with PSC, please see details above. No suspicious lesion delineated.