38-year-old woman with history of primary sclerosing cholangitis and ulcerative colitis. ABDOMEN:LIVER, BILIARY TRACT: Intrahepatic biliary duct dilatation is again noted with scattered areas of narrowing and irregularity seen affecting the left, right, and common hepatic ducts.No focal hepatic lesion or abnormal parenchymal enhancement is identified.SPLEEN: The spleen appears normal.PANCREAS: The pancreas appears normal.ADRENAL GLANDS: The adrenal glands appear normal.KIDNEYS, URETERS: The kidneys are normal.RETROPERITONEUM, LYMPH NODES: No significant lymphadenopathy is noted.BOWEL, MESENTERY: Concentric, long segment colonic wall thickening is visualized from the hepatic flexure to the mid descending colon with enhancement, slightly decreased from the prior examination.BONES, SOFT TISSUES: L4 hemangioma noted. No significant abnormality noted.OTHER: No significant abnormality noted.
1. Primary sclerosing cholangitis with areas of diffuse narrowing and irregularity similar to the prior examination.2. Concentric, long segment colonic wall thickening is visualized from the hepatic flexure to the mid descending colon with enhancement, slightly decreased from the prior examination.1.Colonic inflammation compatible with ulcerative colitis, slightly decreased from the prior examination.