Reason: history of UC and PSC. elevated lipase History: nausea, vomiting, abdominal pain ABDOMEN:LUNG BASES: Left basilar atelectasis.LIVER, BILIARY TRACT: Irregularity of the intrahepatic and extrahepatic biliary ducts compatible with patient's history of PSC. Intrahepatic and extrahepatic biliary ductal dilatation increased compared to prior MRCP. Common bile duct dilatation measures up to 12 mm, previously 8 mm. No focal hepatic lesion.SPLEEN: No significant abnormality noted.PANCREAS: No pancreatic inflammation. No pancreatic mass. No pancreatic ductal dilatation.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.
1.Biliary ductal irregularity and dilatation has increased slightly compared to prior MRCP compatible with history of PSC. 2.No focal hepatic lesion. 3.No specific evidence of acute pancreatitis.