Elevated alkaline phosphatase. Evaluate bile ducts,? PTLD. ABDOMEN:LIVER, BILIARY TRACT: No focal hepatic lesion is identified. Mild extrahepatic biliary ductal dilatation. The common duct measures up to 10 mm. However it tapers smoothly and is well seen to the level of the ampulla. No evidence of choledocholithiasis or pancreatic head mass.SPLEEN: Spleen measures upper limits of normal in size.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No adrenal nodularity or thickening.KIDNEYS, URETERS: Kidneys are atrophic and demonstrate bilateral simple cysts. Few complex left renal cysts. No hydronephrosis or hydroureter. Right iliac fossa renal transplant is partially imaged and incompletely evaluated.RETROPERITONEUM, LYMPH NODES: No significant lymphadenopathy is identified.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Right lower quadrant renal transplant
1.No specific evidence of post transplant lymphoproliferative disorder.2.Mild dilation of common bile duct. No evidence of pancreatic head mass or choledocholithiasis.