61-year-old male with primary sclerosing cholangitis undergoing cholangiocarcinoma screening. ABDOMEN:LIVER, BILIARY TRACT: There is mild fissural widening and hypertrophy of the caudate lobe which may represent an early biliary pattern of cirrhosis. Subtle areas of wedge shaped T2 hyperintensity could represent fibrosis.Multifocal irregular dilatation of the intrahepatic and extrahepatic biliary ducts consistent with the history of primary sclerosing cholangitis with mild interval progression (for example, a left hepatic duct series 11, image 388). There is no dominant stricture or focal enhancing hepatic mass. Status post cholecystectomy. The hepatic vasculature appears patent.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: Cardiophrenic and upper abdominal lymphadenopathy is nonspecific but unchanged and can be seen with PSC.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Multifocal intra and extrahepatic biliary structures consistent with primary sclerosing cholangitis with slight progression since the previous exam. No dominant stricture or suspicious enhancing lesion is identified.