Male 69 years old Reason: eval for lesions, assess hepatic vessel patency History: cirrhosis, s/p liver and kidney transplant 4/05 ABDOMEN:LIVER, BILIARY TRACT: Allograft liver with lobulated contour and heterogenous signal intensity consistent with chronic liver disease. No focal hepatic lesions are identified. There is no significant biliary ductal dilatation, decreased from prior. The common bile duct measures up to 5 mm in diameter. The hepatic vasculature appears patent. There is once again mild narrowing at the portal vein and hepatic artery anastomoses appearing similar to prior.SPLEEN: The spleen is normal in size measuring up to 11.0 cm in length.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Severely atrophic kidneys with multiple renal cysts.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Degenerative changes affect the spine.OTHER: Transplant kidney is partially visualized in the right iliac fossa.
1.Allograft liver with signs of chronic liver disease without focal lesion. 2.Patent hepatic vasculature with mild anastomotic narrowing appearing similar to prior. 3.No significant biliary ductal dilatation, improved from prior. 