Plastic common bile duct stent is present.
Circular symmetric rind of enhancing tissue encasing the common bile duct and central hepatic ducts.
Multifocal intrahepatic biliary ductal irregularity and stricturing. This can be well seen on the T2 fat sat and post contrast images (portal venous, delayed, and 20 minutes).
Diminished excretion of hepatobiliary contrast agent (Eovist) in the dilated segment 4 bile ducts on 20 minute delayed images. Several other areas of ductal narrowing/irregularity are present.
Subtle focal enlargement of the pancreatic tail with mild T2 hyperintensity with hyperenhancement.