Male 52 years old Reason: biliary stricture/ History: elevated bilirubin, cirrhosis ABDOMEN:LIVER, BILIARY TRACT: The liver demonstrates cirrhotic morphology. Patent hepatic vasculature. Multiple abdominal wall, splenic and gastroesophageal varices are noted. There is recanalization of the umbilical vein. There is a focal narrowing of the common hepatic duct which measures approximately 3mm in length. Although there is no biliary dilatation above this level the appearance is suspicious for a focal stricture. The liver demonstrates signal dropout on in phase imaging suggestive of iron deposition. Cholelithiasis.SPLEEN: Splenomegaly measuring 14.2 cm. PANCREAS: The pancreas demonstrates signal dropout on in phase imaging suggestive of iron deposition.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Diffuse abdominopelvic ascites. There is mild diffuse bowel wall thickening which is nonspecific in the setting of cirrhosis.BONES, SOFT TISSUES: Gynecomastia.
1.Focal narrowing of the common hepatic duct. Although there is no biliary dilatation above this level the appearance is suspicious for a focal stricture. 2.Cirrhotic liver morphology with splenomegaly, multiple upper abdominal collateral vessels and diffuse abdominopelvic ascites.3.Iron deposition within the liver and pancreas suggestive of iron deposition disease, pattern of involvement suggestive of primary hemachromatosis.