History of PSC. Evaluate for cholangiocarcinoma. ABDOMEN:LIVER, BILIARY TRACT: Stable narrowing of the distal common bile duct with mild upstream dilatation. No focal lesion or new dominant stricture visualized. Multiple prominent porta hepatis lymph nodes are nonspecific in the setting of chronic liver disease. The liver measures 20 cm in length. Partially contracted gallbladder with mild wall thickening, nonspecific.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Several punctate simple-appearing cysts. No hydronephrosis. RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Trace right paracolic gutter fluid, nonspecific.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Without significant change narrowing of the distal common bile duct with minimal proximal ductal prominence, unchanged. No new dominant stricture or focal lesion seen.