69-year-old female with primary sclerosing cholangitis, right upper quadrant pain, discomfort, rising alkaline phosphatase. ABDOMEN:LIVER, BILIARY TRACT: Status post left hepatectomy and hepaticojejunostomy. Interval increase in mild to moderate biliary ductal dilation of the right hepatic lobe with narrowing at the level of the hepaticojejunostomy. Main portal vein is patent. No new stricture is identified.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Unchanged left renal cyst.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.Interval increase in mild to moderate biliary ductal dilation of the right hepatic lobe.2.Narrowing of the bile ducts at the level of the hepaticojejunostomy without enhancing lesion at this level raises suspicion for an anastomotic stricture.