20 year old female patient status post orthotopic liver transplant with developmental delay. Cholestasis, evaluate for biliary obstruction. Evaluation is limited as described above. ABDOMEN:LIVER, BILIARY TRACT: Post-surgical changes of a left hepatic lobe liver transplant. There is a bowel loop intimately associated with the porta hepatis which presumably represents a hepaticojejunostomy. There is no evidence of intrahepatic biliary ductal dilatation. No focal hepatic lesion is identified. SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral renal cysts and right upper pole renal atrophy. RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Limited study as described above. Within limitations, no evidence of intrahepatic biliary ductal dilatation. If there is continued clinical concern for biliary pathology, evaluation by CT may be better tolerated in the future. 