Known ulcerative colitis with new onset pruritus and elevated alkaline phosphatase. Evaluate for PSC versus other etiology of cholestasis. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in morphology, size, and signal intensity without a focal lesion. Distended gallbladder without cholelithiasis. No choledocholithiasis. There is mild irregularity of the biliary system which is not adequately evaluated without MRCP images.There is suggestion of mild fatty infiltration.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: No significant abnormality noted.
Normal liver morphology without a suspicious lesion.There is mild irregularity of the biliary tree which is not adequately evaluated without MRCP images. The patient is being called back for dedicated MRCP images without intravenous contrast.