History of ulcerative colitis with elevated alkaline phosphatase and transaminases. Evaluate for PSC. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in morphology and size measuring 20 cm in craniocaudal dimension. Punctate hepatic cyst is noted in segment 8. No suspicious liver lesion.There is mild luminal irregularity of the intrahepatic bile ducts without a dominant stricture or mass.SPLEEN: Normal splenic morphology and size without a focal lesion.PANCREAS: Findings of pancreas divisum. The pancreatic parenchyma is normal in signal intensity. No pancreatic ductal dilatation or focal lesion.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Subcentimeter right superior and left inferior pole simple cysts. No hydronephrosis or suspicious lesion.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Numerous small mesenteric and pericolonic lymph nodes measuring less than 1 cm. Incomplete evaluation of the colon demonstrates diffuse mild wall thickening.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1. Mild luminal irregularity of the intrahepatic bile ducts without a dominant stricture or mass suspicious for primary sclerosing cholangitis given the history of ulcerative colitis. 2. Note is made of pancreas divisum without evidence of active inflammation. 3. Increased number of small pericolonic and mesenteric lymph nodes with mild diffuse clonic wall thickening, correlate for active ulcerative colitis.