40 years, Female, Reason: 40 History: 40 with chrons and abnl LFT r/o PSC. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There is geographic regions of its hyperenhancement and T2 hyperintensity likely represent fibrosis. There is diffuse hepatic steatosis. Lesion the right hepatic lobe measuring 1.6 x 1.0 cm (13/36) peripheral nodular centripetal enhancement, likely hemangioma.There may be minimal stricturing in the proximal common bile duct, however there is no significant intrahepatic biliary ductal dilatation. The right hepatic bile duct is poorly filled with contrast.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 significant abnormality noted.
1.Hepatic steatosis and fibrosis.2.Minimal narrowing of the proximal common bile left. The right hepatic ducts is not well-visualized. While the appearance is not classic for primary sclerosing cholangitis, could represent early findingsI personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.