21-year-old female with primary sclerosing cholangitis with abdominal pain. Evaluate for stricture. ABDOMEN:LUNG BASES: Minimal bilateral basilar atelectasis, left greater than right.LIVER, BILIARY TRACT: Irregularity of the intra and extrahepatic biliary ducts compatible with patient's history of PSC is stable in appearance. The common bile duct measures 10 mm. No dominant biliary stricture.SPLEEN: No significant abnormality noted.PANCREAS: No pancreatic ductal dilatation or pancreatic mass.ADRENAL GLANDS: Adrenal glands are normal in size and morphology bilaterally.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.Biliary ductal irregularity and dilatation appears similar compared to the previous examination, compatible with history of primary sclerosing cholangitis. No dominant new stricture.2.No focal hepatic lesion or pancreatic mass.