35-year-old male patient with primary sclerosing cholangitis. Evaluate for stricturing/disease progression. ABDOMEN:LIVER, BILIARY TRACT: A T2 hyperintense lesion within segment 4A which demonstrates progressive peripheral discontinuous enhancement measures 2.1 x 2.0 cm (image 27, series 12), unchanged in size. An additional enhancing geographic focus in the subcapsular region of segment 8 is not significantly changed.There is narrowing of the distal hepatic duct along with mild, irregular intrahepatic biliary duct dilatation without new stricture or focal lesion.SPLEEN: There is mild splenomegaly. A subcentimeter T2 hyperintense focus within the spleen likely represents a cyst.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 significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.No significant change in the biliary ductal appearance with strictures and mild dilatation.2.Stable appearance of a segment 4 lesion, which likely represents a hemangioma.3.Stable enhancing focus within segment 8, which is possibly vascular in etiology. 