35-year-old female with history of primary sclerosing cholangitis with abdominal pain and elevated alkaline phosphatase. Evaluate for cholangitis versus biliary obstruction. ABDOMEN: Patient motion limits evaluation.LIVER, BILIARY TRACT: Significant motion artifact limits evaluation of the biliary system. The biliary system is only well evaluated on the fast acquisition coronal images. Common bile duct measures approximately 9 mm in diameter, not significantly changed compared with the previous examination. Additionally, there are focal areas of intrahepatic biliary ductal dilatation which are unchanged. Nodular hepatic contour with hypertrophy of the left hepatic lobe and the caudate lobe. Findings consistent with biliary cirrhosis.SPLEEN: No significant abnormality noted.PANCREAS: Evaluation of the pancreas is limited given motion artifact. Within this limitation, no significant pancreatic ductal dilatation.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.Suboptimal motion degraded examination. Within this limitation, mild common bile duct and focal intrahepatic biliary ductal dilatation which is unchanged and likely secondary to known primary sclerosing cholangitis.2.Biliary cirrhosis.