Reason: Patient with UC and cirrhosis, evaluate for PSC and HCC. Liver protocol MRI History: Evaluate for PSC and HCC ABDOMEN:LIVER, BILIARY TRACT: The intrahepatic biliary ducts are again mildly irregular, not significantly changed from the prior study. No dominant stricture is identified. Segment 6/7 T2 hyperintense liver lesion again compatible with a hemangioma and also unchanged from the prior study. No suspicious liver lesion identified.Cholelithiasis is present without complication.SPLEEN: Accessory spleens are noted inferior to the spleen.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: Small hiatal hernia is noted.BONES, SOFT TISSUES: T2 hyperintense nonenhancing lesion in the anterior pericardial fat may represent a pericardial cyst and is unchanged.
Mildly irregular intrahepatic biliary ducts may be due to primary sclerosing cholangitis given the patient's history, however no dominant stricture or suspicious liver lesion is identified.