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Maximum intensity projection 3D MR cholangiopancreatographic study shows multiple strictures of the common bile duct interspersed with focal dilatations, with a beaded appearance, along with multiple discontinuous strictures of the intrahepatic bile ducts involving both hepatic lobes as well as slight prominence or dilatation of the intrahepatic biliary radicles. No biliary masses or stones are identified. Axial DWI shows mild hyperintense signal along the intra-hepatic biliary radicals and the CBD.
Normal size and signal intensity of the liver with no focal lesions. Normal MRI of the gall bladder with average wall thickness. Normal MRI signal of the spleen and both kidneys. No ascites or enlarged abdominal lymphadenopathy. Traces of minimal bilateral pleural effusion is noted.