59-year-old woman with history of PSC, evaluate for new strictures. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in signal and morphology.The patient is status post cholecystectomy.There are multifocal intra and extrahepatic biliary ductal strictures with dominant strictures at the Klatskin's point and a short segment of the mid common bile duct. These structures are unchanged in morphology and there is upstream dilatation, also stable. Additionally, there is circumferential thickening of the wall and mild hyperenhancement of the ducts in these regions, but no mural nodule or mass.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: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Stable appearance of PSC affecting the intra and extrahepatic biliary ducts. Enhancement suggestive of cholangitis without evidence of tumor.