Male; 75 years old. Reason: eval PSC for dominant stricture, eval for HCC, f/u pancreatic cyst History: cirrhosis, PSC, pancreatic cyst ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic morphology of the liver again seen. No focal, enhancing hepatic lesions. Portal venous system is patent. Gallbladder sludge and/or small stones.Stable appearance of the biliary tree with stable mild narrowing of the common hepatic duct and proximal common bile duct. No dominant biliary stricture.SPLEEN: Splenomegaly, similar to prior study.PANCREAS: Limited examination of the pancreas on M.R.C.P. images due to ascites. Within this limitation, uncinate process cystic lesion, likely due to side branch IPMN, appears grossly stable measuring up to 1.1 x 1.5 cm on coronal image 20, series 7.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: New moderate upper abdominal retroperitoneal lymphadenopathy. For future reference, the largest lymph node measures 3.9 x 1.5 cm (series 3/16).BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.New moderate retroperitoneal lymphadenopathy.2.No focal, enhancing hepatic lesions.3.Stable appearance of the biliary tree, likely secondary to sclerosing cholangitis, with no new dominant stricture evident.4.No gross change in multiseptated uncinate pancreatic IPMN.