24-year-old female patient with history of PSC. ABDOMEN:LIVER, BILIARY TRACT: No focal hepatic lesions.Scattered mild intrahepatic biliary stricturing in the bilateral hepatic lobes. Tight focal stenosis the right hepatic duct at Klatskin's point appears similar compared to prior examination. Dominant left hepatic duct stricture at Klatskin's point appears similar to prior exam. Again noted is mild biliary wall thickening of the left hepatic duct and proximal hepatic duct. Left lobe atrophy.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: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Trace free fluid in the pelvis.
Stable biliary tree abnormalities compatible with primary sclerosing cholangitis with dominant stricture at the left hepatic duct at Klatskin's point. No focal masses.