Male 30 years old status post OLT in 1987 for biliary atresia admitted with conjugated hyperbilirubinemia and diarrhea. Evaluate for biliary dilation. ABDOMEN:LIVER, BILIARY TRACT: Postsurgical changes of liver transplant. Nodular, cirrhotic liver morphology. Atrophic right hepatic lobe with reticular T2 hyperintensity is consistent with fibrosis. There is compensatory hypertrophy of the left lobe.Again seen is multifocal intrahepatic biliary ductal stricturing and dilatation. The common duct is not well seen which may be related to technique particularly as there is no upstream biliary ductal dilatation. The overall appearance is concerning for multifocal strictures.There is a new subcentimeter intrinsically T1 hyperintense, mildly enhancing lesion in hepatic segment 2 (series 18, image 24) with no washout is nonspecific, attention on follow-up imaging is recommended. The hepatic vasculature is patent.SPLEEN: Mild splenomegaly measuring 16 cm in craniocaudal dimension.PANCREAS: Unchanged mild narrowing of mid-body main pancreatic duct with stable upstream ductal prominence. ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Subcentimeter left renal cyst. Stable mild prominence of the left collecting system.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Small bilateral pleural effusions and associated atelectasis.
1. Cirrhotic liver morphology with right hepatic lobe fibrosis.2. Accounting for differences in technique stable multifocal intrahepatic biliary stricturing. The common duct is not well seen which may be related to technique as there is no upstream biliary ductal dilatation.3. Small bilateral pleural effusions.4. Mild splenomegaly.5. Additional findings as above.