History of PSC and IPMN. Evaluate for cholangiocarcinoma. ABDOMEN:LIVER, BILIARY TRACT: Demonstrated again are findings of the patient's known primary sclerosing cholangitis appearing similar to the prior study with multifocal areas of irregular mild dilatation and stricturing of the intra and extrahepatic bile ducts. Stable stricture of the proximal hepatic duct including Klatskin's point measuring 1.5 cm in length (series 10 image 7), unchanged. Mild stricture of the distal common bile duct is also unchanged measuring 3.1 cm in length (series 10 image 6).No intraductal lesion is noted.Stable subcentimeter right liver cyst. No suspicious hepatic lesion or vascular abnormality.SPLEEN: No significant abnormality noted.PANCREAS: Stable punctate cystic lesions adjacent to the pancreatic duct which may represent side branch IPMNs. (Series 5 image 29). Findings suggestive of pancreas divisum.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral simple renal 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.
Stable appearance of primary sclerosing cholangitis without an intraductal mass or suspicious liver lesion.