Female; 47 years old. Reason: History of UC and PSC History: Elevated ALP. ABDOMEN:LIVER, BILIARY TRACT: Questionable minimal irregularity of the intrahepatic biliary ducts and mild intrahepatic biliary ductal dilatation. There is a 6 mm stricture in the common hepatic duct which extends to Klatskin's point on series 4, image 65. Although no obvious associated enhancing masses are seen, these would be difficult to visualize given the location of this stricture. No suspicious hepatic lesions. Patent hepatic vasculature. SPLEEN: No significant abnormality noted.PANCREAS: No suspicious lesions or definite pancreatic ductal dilatation. Findings of pancreatitis seen on prior CT have resolved. 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.Questionable minimal irregularity and mild dilatation of the intrahepatic biliary ducts, which may correlate with the patient's recent diagnosis of primary sclerosing cholangitis (PSC). 2.Dominant 6 mm stricture in the common hepatic duct extending to Klatskin's point. Although no definite associated enhancing mass is seen, it should be noted that evaluation is limited given the stricture location and small size.