48-year-old female with primary sclerosing cholangitis with elevated liver enzymes status post hepaticojejunostomy. ABDOMEN: LIVER, BILIARY TRACT: No suspicious hepatic lesions. Areas of dilation and stricturing of the intrahepatic biliary ducts, including tight strictures of the right and left hepatic ducts near the Klatskin's point, compatible with known primary sclerosing cholangitis. The caliber of the biliary tree is similar to prior study. Hepatolithiasis is present in both lobes, right greater than left. Hepaticojejunostomy is patent. Increased enhancement of the bile ducts diffusely with perfusional changes in the liver, suspicious for inflammatory cholangitis. Status post cholecystectomy. 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: Edema-like signal related to incision from recent hepaticojejunostomy within the anterior abdominal wall.OTHER: No significant abnormality noted.
1.Abnormal appearance of the biliary tree, compatible with PSC, with tight strictures of the right and left hepatic ducts. Patent hepaticojejunostomy.2.Hepatolithiasis.3. Findings suspicious for inflammatory cholangitis.