31-year-old man with history of known primary sclerosing cholangitis. ABDOMEN:LIVER, BILIARY TRACT: The liver appears normal in signal and morphology without focal hepatic lesion.Previously seen dominant stricture near the ampulla (8/70) appear similar to the prior examination with mild upstream ductal dilatation measuring up to 7 mm. Secondary area of apparent narrowing near the porta hepatis (8/62) corresponds to crossing right hepatic artery.Multiple areas of intrahepatic biliary ductal stricturing (8/76) with upstream dilatation appears worse than the prior examination.The gallbladder is distended and normal.SPLEEN: The spleen is small, but otherwise unremarkable.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: Previously seen colonic wall thickening appears to have resolved.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Multifocal intra and extrahepatic biliary strictures compatible with history of PSC. Of note, the intrahepatic strictures appear worse compared to 2014.2.Interval resolution of previously seen colonic wall thickening.