35-year-old man with history of ulcerative colitis and PSC, please evaluate for progression of disease. ABDOMEN:LIVER, BILIARY TRACT: The liver is slightly nodular in contour.The previously seen T2 hyperintense, progressively peripherally enhancing lesion in segment 4A (series 15, image 62) measures 21 x 20 mm, previously 26 mm. Additionally, there is an enhancing geographic focus in the subcapsular segment 8 (series 1701, image 59) with a small vessel leading towards it.There is narrowing of the distal hepatic duct along with mild, irregular intrahepatic biliary duct dilatation without new stricture or focal lesion.SPLEEN: There is mild splenomegaly. The spleen is otherwise normal.PANCREAS: The pancreas is normal and there is no pancreatic duct dilatation. ADRENAL GLANDS: The adrenal glands are normal.KIDNEYS, URETERS: The kidneys are normal and enhance symmetrically.RETROPERITONEUM, LYMPH NODES: No significant lymphadenopathy noted.BOWEL, MESENTERY: The visualized small bowel and colon is normal.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.No significant interval change from the prior examination with biliary strictures and mild dilatation.2.Slight decrease in size of segment 4 hemangioma.3.Subcapsular segment 8 lesion, likely a small vascular shunt.