Evaluate for primary sclerosing cholangitis and Crohn's disease. Abnormal LFTs. ABDOMEN:LIVER, BILIARY TRACT: Mild steatosis. Mild fissural prominence. Borderline hepatomegaly measuring 22.5 cm in length. No focal lesion, biliary ductal dilatation or vascular abnormality. The biliary system is unremarkable. Normally distended gallbladder.SPLEEN: The spleen measures 12.8 cm in length without a focal lesion.PANCREAS: Pancreas divisum with sidebranch ectasia. No specific findings of acute pancreatitis.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Multiple large porta hepatis lymph nodes. An anterior lymph node measures 2.1 x 1.4 cm (series 3/20).BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Mild hepatic steatosis with hepatomegaly. Fissural prominence raising possibility of chronic liver disease. Porta hepatis lymph nodes may be related to acute and/or chronic liver disease.2.No focal liver lesion or specific findings of PSC.3.Pancreas divisum with side branch ectasia, which can be seen in early chronic pancreatitis. No findings of acute pancreatitis.