Female; 22 years old. Reason: PSC, IBD, eval for cholangiocarcinoma History: PSC, IBD ABDOMEN:LIVER, BILIARY TRACT: Liver is normal in morphology. No suspicious hepatic lesions. The portal and hepatic veins are patent.Mild beading of the left and right intrahepatic central ducts is similar similar to prior. However, there is increased narrowing of the confluence of the intrahepatic ducts and the common hepatic duct, which demonstrates new concentric biliary wall thickening. No associated increased enhancement or focal mass.Mild common bile duct dilation is slightly increased and now measures up to 10 mm, previously 8 mm, without evidence of obstructing mass.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 ascites.
Increased narrowing of the biliary ducts at Klatskin point, particularly of the common hepatic duct, with new concentrate biliary wall thickening. Considering the patient's young age, cholangiocarcinoma is a possibility, and correlation with ERCP is recommended.