The liver is enlarged and demonstrates fine nodularity of the surface and prominent fissures representing cirrhosis. No focal hepatic lesion otherwise is demonstrated.
The gallbladder appears unremarkable. No gallstone seen.
The CBD is dilated measuring 9 mm in the maximum diameter. CBD wall thickening and enhancement are seen. An area of cut off is noted at the distal CBD representing tight stricture.
Intrahepatic biliary duct dilatation is noted, more pronounced at the left hepatic lobe, which is disproportionate in regard to dilatation. Another area of focal tight stenosis is noted at the intrahepatic bile duct at the left hepatic duct near the confluence with the common hepatic duct. The intrahepatic biliary ducts are abnormal and demonstrate multifocal areas of stenosis and dilatation giving the beaded appearance.
Splenomegaly. Multiple enlarged lymph nodes are noted at the porta hepatis, aortocaval, peripancreatic and gastrohepatic region.