Possible primary biliary cirrhosis. Abnormal LFTs. ABDOMEN:LIVER, BILIARY TRACT: The liver is mildly lobular in contour with patchy reticular T2 weighted hyperintensity suggestive of cirrhosis with fibrotic changes. These regions demonstrate increasing enhancement on delayed phase imaging without a discrete mass lesion, biliary ductal dilatation or capsular retraction.The vessels are patent.The common bile duct measures up to 10 mm, yet tapers smoothly at the level of the ampulla without an obstructive lesion evident. Normally distended gallbladder.SPLEEN: The spleen is normal in size without a focal lesion.PANCREAS: Normal morphology. The main pancreatic duct is normal in caliber. No focal lesion.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Right renal interpolar intraparenchymal T2-weighted hypointense subcentimeter focus is not clearly a cyst but is too small to characterize otherwise.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1. Chronic liver disease morphology with fibrotic changes. No discrete mass lesion.2. Right renal intraparenchymal subcentimeter T2 weighted lesion is not clearly a cyst; dedicated renal CT in 1 year is suggested to confirm stability. 