25-year-old man with history of ulcerative colitis and biliary strictures, now with elevated LFTs. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in signal and morphology.There is mild irregularity of the intrahepatic bile ducts (10/89 and 10/98) with subtle stricturing but only minimal intrahepatic biliary ductal dilatation. Extrahepatic bile duct is normal in caliber.Portal vein is patent.SPLEEN: No significant abnormality noted.PANCREAS: Pancreatic duct is normal in caliber. No focal parenchymal lesion identified.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Mildly prominent peripancreatic and portacaval lymph nodes noted (8/32 and 8/28).BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Mild intrahepatic biliary ductal irregularity with minimal intrahepatic biliary ductal dilatation and no dominant stricture or evidence of mass.