22-year-old male with history of primary sclerosing cholangitis ABDOMEN:LIVER, BILIARY TRACT: No focal hepatic lesions. Liver is normal in size. No evidence of steatosis. Gallbladder appears normal. Common bile duct is normal in size measuring 3 mm. There are a few areas of intrahepatic ductal narrowing with a beaded appearance. It is unclear whether this is progressed since prior exam due to differences in technique. No significant intrahepatic biliary ductal dilatation. No extrahepatic stricturing is evident.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: Right upper quadrant and ileostomy. No evidence of obstruction. Prominent jejunal loops measuring up to 2.9 cm may represent ileus related to recent surgery.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Beaded appearance of the proximal intrahepatic biliary ducts with areas of mild narrowing are suspicious for early primary sclerosing cholangitis. 2.No suspicious hepatic lesions.