Primary sclerosing cholangitis. Presents for cholangiocarcinoma screening. ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic liver morphology. Right-sided percutaneous drain is noted. The biliary tree demonstrates irregularity with intermittent minimal dilatation narrowing and irregularity compatible with stated history of primary sclerosing cholangitis. No dominant stricture is evident.There is moderate biliary wall thickening and irregularity with mild increased intraluminal signal intensity (series 4/18) without associated abnormal enhancement which may represent debris, overall appearing similar to the prior.Right hepatic lobe cavernous hemangioma are noted with the largest measuring 1.1 cm. No suspicious liver lesion.The vessels are patent.The patient is status post cholecystectomy.SPLEEN: No significant abnormality noted.PANCREAS: Punctate T2-weighted hyperintense lesions in the pancreatic tail measure less than 1 cm in size, likely represent side branch IPMNs, grossly unchanged. ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Stable bilateral simple appearing cysts.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.Stable appearance of the biliary tree, compatible with history of PSC without a dominant lesion or discrete lesion. 2.There is moderate biliary wall thickening and irregularity with mild increased intraluminal signal intensity (series 4/18) without associated abnormal enhancement which may represent debris, overall appearing similar to the prior.