30-year-old male patient with PSC-IBD. Evaluate for cholangiocarcinoma. ABDOMEN:LIVER, BILIARY TRACT: Again seen are alternating areas of intrahepatic biliary narrowing and dilation, particularly centrally and in the left hepatic lobe. These findings appear similar compared to comparison examination. No suspicious enhancing lesions seen. Hepatic vasculature is patent. Prominent lymph nodes are noted at the porta hepatis.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Subcentimeter T2 hyperintense lesion in the inferior pole of the right kidney is too small to characterize and likely represents a cyst.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.Alternating intrahepatic biliary narrowing and dilatation compatible with known history of PSC, not significantly changed compared to prior.2.No evidence of cholangiocarcinoma.