67-year-old woman with history of PSC status post partial hepatectomy. High-grade dysplasia of the left intrahepatic and extrahepatic bile ducts on surgical pathology, margins clear. ABDOMEN:LIVER, BILIARY TRACT: Patient is status post left hepatectomy with hepaticojejunostomy. No focal hepatic lesions are identified.Multifocal mild intra and extra hepatic biliary strictures (11/57 and 58) are identified. Additionally, a stricture within the central right posterior bile duct (11/52) appears slightly worsened from the prior exam and there is new pre-stenotic ductal dilatation.SPLEEN: Spleen appears normal.PANCREAS: The pancreatic duct appears normal. The pancreas is unremarkable.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant retroperitoneal lymphadenopathy.BOWEL, MESENTERY: Partially visualized small bowel and colon appear normal.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Intra and extrahepatic biliary strictures with newly worsening stricture and prestenotic dilatation of a right posterior bile duct.2.No evidence of malignancy.