History of primary sclerosing cholangitis. Evaluate for stricture or suspicious lesions. ABDOMEN:LIVER, BILIARY TRACT: Redemonstration of multiple areas of intrahepatic biliary ductal dilatation and stricturing appearing similar to the prior exam. Again seen is focal stricturing of the proximal common bile duct as well as the central left main duct. The main common bile duct is nondilated. A nonenhancing focus of increased T2 signal in the hilum presumed to reflect a cystic duct remnant. There is associated susceptibility artifact from cholecystectomy clips.No suspicious enhancing lesions present. Again seen are multiple foci of intrinsic T1 shortening within the biliary tree compatible with inspissated bile or stones. 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.Stable findings of primary sclerosing cholangitis with areas of biliary stricturing and dilatation. Similar to prior there are areas of inspissated bile within the intrahepatic ducts.2.No focal enhancing liver lesion.