History of indeterminate colitis. History of PSC. Evaluate for interval change. ABDOMEN:LIVER, BILIARY TRACT: There is intrahepatic and extrahepatic irregular narrowing and dilatation of the biliary tree compatible with known history of primary sclerosing cholangitis. Again the narrowing is most severe at Klatskin's point and the distal common bile duct, not significantly changed from the prior study. No new dominant stricture. No focal mass lesion is evident.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.
Findings of primary sclerosing otitis without a new dominant or worsening stricture. No focal mass lesion to suggest cholangiocarcinoma.