24-year-old female with Crohn's ileocolitis, evaluate for primary sclerosing cholangitis, history of superior mesenteric vein thrombosis ABDOMEN:LIVER, BILIARY TRACT: There is mild irregularity of the intrahepatic bile ducts (segment 5/8) and proximal common bile duct. No abnormal enhancement is present. No dominant stricture or mass is present.Numerous vascular collateral at the porta hepatis compatible with superior mesenteric vein thrombosis.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Subcentimeter 4 mm nonenhancing renal cyst in the right kidney. No hydronephrosis or perinephric inflammation.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: There is thickening of the descending colon which may be exaggerated due to under distention.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Imaging findings compatible with primary sclerosing cholangitis without dominant stricture or mass evident.2.Descending colonic wall thickening compatible with provided history of Crohn's disease.3.Porta hepatis collaterals reflect provided history of superior mesenteric vein thrombosis.