67-year-old female with history of abnormal MRCP 1/6/2016 who presents for evaluation of biliary stricture/primary sclerosing cholangitis. History additionally states primary biliary cirrhosis. ABDOMEN:LIVER, BILIARY TRACT: There is mild hepatomegaly without abnormal contour of the hepatic capsule. The hepatic parenchyma is homogeneous without evidence of a suspicious mass or nodularity. There is segment 7 transhepatic intensity difference. No evidence of intra or extrahepatic biliary ductal dilatation. There is mild extrinsic compression upon the proximal common bile duct secondary to crossing hepatic artery.SPLEEN: No significant abnormality noted.PANCREAS: Fatty involution of the pancreas.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Right extrarenal pelvis and left hilar renal cysts are 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 findings to suggest primary sclerosing cholangitis.2.Mild hepatomegaly. 3.Primary biliary cirrhosis often has normal morphologic appearance.4.Fatty involution of the pancreas.5.Left renal hilar and cortical cysts.