Male 28 years old with PSC with elevated LFTs and AP. Concerned for a new stricture vs DILI. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in size and smooth in contour. No enhancing liver lesion is identified. The hepatic vasculature appears patent.There is a long segment of stricturing in the distal common duct similar to the previous exam. A short segment stricture is seen in the right hepatic duct and there are scattered short segment intrahepatic strictures, unchanged. There is mild wall thickening in the proximal common duct. No dominant stricture or 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: There is thickening, loss of haustration, restricted effusion and mild enhancement throughout the visualized colon compatible with the history of ulcerative colitis.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Scattered intra and extrahepatic biliary ductal strictures are compatible with the history of primary sclerosing cholangitis and not significantly changed since the previous exam.2.No dominant stricture or hepatic lesion.3.Inflammatory changes within the visualized colon compatible with the history of ulcerative colitis.