Reason: PSC, eval for strictures History: PSC ABDOMEN:LIVER, BILIARY TRACT: Nodular cirrhosis with areas of T2 hyperintensity compatible with fibrosis. No suspicious arterially enhancing lesions. Similar appearance of beaded intrahepatic bile ducts likely secondary to multifocal strictures. Trace progression of the stricturing of the common bile duct (series 7 image 59, 60, and 63) without significant change in bowel duct caliber. No dominant stricture.No new dominant stricture.SPLEEN: Splenomegaly measuring 14.3 cm with extensive splenorenal shunt.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Similar-appearing retroperitoneal and porta hepatis lymph nodes.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Partially visualized right lower quadrant anterior abdominal wall hernia/ostomy.OTHER: Small pericardial cyst or a cardiophrenic lymph node.
1.Cirrhotic morphology of the liver and multifocal biliary strictures. There may be slight interval progession of common bile duct stricturing without significant change in bile duct caliber. Intrahepatic stricturing appears similar to prior study. 2.No dominant stricture or suspicious mass.