22-year-old female with primary sclerosing cholangitis with biliary strictures ABDOMEN:LIVER, BILIARY TRACT: No focal liver lesions. The vasculature appears patent.The gallbladder is within normal limits. Redemonstrated is mild beading of the left and right intrahepatic biliary ducts centrally and at the Klatskin point. Although improved, there is mild dilation of the common bile duct measuring up to 7 mm, previously 10 mm.There is no abnormal enhancement or focal mass. 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.
1.Narrowing of the biliary ducts at Klatskin point, particularly central right and left biliary ducts appearing similar to that seen on the prior examination. No focal mass or abnormal enhancement to suggest cholangiocarcinoma. 