History of PSC. Assess for any dominant stricture or cholangiocarcinoma. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in morphology, signal intensity and enhancement without a suspicious lesion.The hepatic and portal veins are patent.There is intrahepatic and extrahepatic irregular narrowing, including involvement of Klatskin point, the proximal common hepatic duct and distal common bile duct, overall appearing similar to the prior study. No new dominant stricture, abnormal postcontrast enhancement or filling defect.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: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Findings compatible with PSC without a focal suspicious lesion or new dominant stricture. 