67 year old female with a history of PSC, evaluate for cholangiocarcinoma ABDOMEN:LIVER, BILIARY TRACT: Status post left hepatectomy and cholecystectomy. Dilation of the right intrahepatic biliary ducts is again seen, stable to slightly increased when compared to the prior studies. Common bile duct normal in size. No evidence of pancreas divisum.Magnetic susceptibility artifact is seen in the porta hepatis from a metal clip which is better seen on the prior CT. No discrete liver lesion is seen.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Left renal cysts unchanged.RETROPERITONEUM, LYMPH NODES: Subcentimeter gastrohepatic lymph nodes, unchanged.BOWEL, MESENTERY: The cecum is distended, containing material of heterogeneous signal intensity, which may represent fecal material, which is poorly assessed on this nondedicated study. BONES, SOFT TISSUES: No significant abnormality noted.
Postoperative changes of prior left hepatectomy and cholecystectomy. Stable to slight interval increase in mild to moderate right intrahepatic biliary duct dilation. No discrete liver lesion identified.