Male 19 years old Reason: Please evaluate for progression of PSC, cirrhosis, or dominant stricture History: 18 yo w ulerative colitis and IBD ABDOMEN:LIVER, BILIARY TRACT: The intrahepatic biliary ducts demonstrate an irregular appearance with areas of focal narrowing and dilatation. This is best appreciated on series 5, image one. The common hepatic, left main and right main ducts are irregular. The common bile duct is normal in caliber. A focal stricture in the common hepatic duct appears increased compared to prior study however the dilatation above this is not significantly changed.The liver is normal in morphology.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.
1.Findings compatible with primary sclerosing cholangitis with intrahepatic ductal involvement. Increasing narrowing in the distal common hepatic ducts without significantly increased superior duct dilatation. Attention can be paid to this on additional surveillance imaging.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.