Female; 55 years old. Reason: Thcikened bile duct wall at last MRI MRCP likely due to recent stent change, pls. f/u History: PSC LIVER, BILIARY TRACT: Stable areas of focal dilatation and stricturing involving the intrahepatic biliary tree with pruning and irregularity of the common bile duct.A right percutaneous biliary catheter is again seen with interval decreased biliary wall thickening and enhancement of both the right intrahepatic bile ducts and common bile duct, suggesting that the prior findings were secondary to postsurgical change.Small hemangiomas in segments 6 and 7 are unchanged. SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Stable subcentimeter bilateral renal cysts. RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Stable subcentimeter T2 hyperintense focus in the right T12 vertebral body, likely representing an atypical hemangioma. OTHER: No significant abnormality noted.
1.Stable irregular appearance of the biliary tree, compatible with primary sclerosing cholangitis. 2.Interval decreased biliary wall thickening and enhancement, suggesting that the prior findings were secondary to postsurgical change.