28-year-old male with history of Crohn's disease and primary sclerosing cholangitis. Evaluate for dominant stricture. ABDOMEN:LIVER, BILIARY TRACT: Within this limited examination, there appears to have been interval decrease in size of the common bile duct, currently measuring 5 mm in diameter. Previously identified regions of narrowing and dilatation involving the intrahepatic ducts as well as irregularity of the distal common bile duct is not evaluated on this incomplete examination.SPLEEN: Multiple T2 hyperintense lesions with a complex T2 lesion in the anterior spleen are again 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: Ahaustral colon is again identified.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Incomplete examination as detailed in technique section.1.Within above limitation, there appears to have been interval decrease in size of the common bile duct. The intra and extrahepatic biliary strictures are not evaluated on this exam.2.Multiple T2 hyperintense splenic lesions with a complex lesion in anterior spleen are not significantly changed.3.Ahaustral colon consistent with inflammatory bowel disease.