History of PSC cirrhosis. ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic liver morphology. Mild irregular narrowing and dilatation of the intrahepatic and extrahepatic biliary tree, similar to the prior. No new dominant stricture or focal lesion.No suspicious liver lesion. The vessels are patent.Cholelithiasis without cholecystitis.SPLEEN: Splenomegaly measuring 15.3 cm in craniocaudal dimension without a focal lesion.PANCREAS: Multiloculated cystic uncinate process lesion appears similar to the prior measuring approximately 1.4 x 0.9 cm (series 7/31), essentially unchanged. No suspicious post-contrast enhancement. ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Upper abdominal retroperitoneal lymph node measures approximately 3.5 x 1.4 cm (series 7/25), compared to 3.9 x 1.3 cm previously.BOWEL, MESENTERY: Small volume ascites. Small bowel wall thickening is non-specific in the setting of ascites.BONES, SOFT TISSUES: Mild lower thoracic vertebral body height loss. Mild bilateral gynecomastia.OTHER: No significant abnormality noted.
No significant interval change in findings of sclerosing cholangitis without a new dominant stricture or focal lesion. Stable multiseptated pancreatic uncinate process probable side-branch IPMN without suspicious enhancement.Stable retroperitoneal lymph nodes. Cirrhosis, mild splenomegaly and ascites. Cholelithiasis without cholecystitis.Mild small bowel wall thickening is non-specific in the setting of ascites. 