58-year-old female with history of primary sclerosing cholangitis. Evaluate for hepatocellular carcinoma or cholangiocarcinoma. ABDOMEN:LIVER, BILIARY TRACT: Again seen are multifocal intra- and extrahepatic biliary ductal strictures, including focal stricture at Klatskin point and short segment mid common bile duct stricture, unchanged in morphology. There is hyperenhancement of the ducts at Klatskin's point without a mass or nodularity, unchanged compared to the previous examination. No new dominant stricture or suspicious hepatic mass is identified to suggest HCC or cholangiocarcinoma. 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: The visualized colon wall demonstrates restricted diffusion and enhancement.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.No significant interval change in findings of PSC affecting the intra-and extrahepatic biliary tree. 2.No evidence of cholangiocarcinoma or HCC.3.Findings consistent with colitis.