Main findings include:
Porta-hepatis soft tissue mass is seen encasing the common bile duct (CBD) yet not occluding it. It also encases the patent hepatic artery without occlusion. The mass extends along the hepatic ducts. The mass elicits a low signal on T1WI, a high signal on T2 WI with no diffusion restriction. The mass shows delayed contrast enhancement.
The pancreatic head appears rather swollen showing a heterogeneous signal and enhancement pattern.
Occluded portal, splenic and superior mesenteric veins.
The spleen shows linear hypointense scars, compatible with prior splenic infarcts.
MRCP images showed alternating stenotic and dilated segments involving the CBD and the intra-hepatic biliary radicles, suggestive of sclerosing cholangitis.