Male; 70 years old. Reason: eval for lesions History: s/p OLT 10/12 for HCC, elevated AFP LUNG BASES: Status post sternotomy.ABDOMEN:LIVER, BILIARY TRACT: Postsurgical changes related to liver transplant. Paradoxical loss of signal on in-and-out of phase images, suggestive of iron deposition. No suspicious hepatic lesion. Stable mild extrahepatic biliary ductal dilation. The portal vein and its branches, as well as the hepatic artery and its branches, appear patent, though evaluation at the porta hepatis is limited by artifact from surgical clips. The hepatic vein and its branches are patent.SPLEEN: No significant abnormality noted.PANCREAS: Stable appearance of two T2 hyperintense lesions within the pancreas with the largest lesion in the pancreatic neck measuring 1 x 0.5 cm, unchanged (series 6/19). 1.0 x 0.5 cm No pancreatic duct dilatation.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Subcentimeter T2 hyperintensities within the kidneys, likely representing cysts.RETROPERITONEUM, LYMPH NODES: Aortic graft, partially visualized.BOWEL, MESENTERY: Susceptibility artifact from metallic hardware in the region of the gastric body, which again limits evaluation of the adjacent structures.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Unilocular fluid collection in the region of the hepatic vein/IVC confluence and anterior to the right diaphragmatic crus measures up to 4.2 x 2.6 cm, unchanged (series 3/11) and again most likely due to a postsurgical fluid collection or seroma.
1.No suspicious hepatic lesion.2.Stable unilocular probable postsurgical fluid collection or seroma.3.Stable appearance of two cystic lesions in the pancreas, likely representing sidebranch IPMNs.