Male 70 years old with recurrent cirrhosis status post OLT 4/05 for HCC and HCV cirrhosis. Evaluate for lesions, assess hepatic vessel patency. ABDOMEN:LIVER, BILIARY TRACT: The transplanted liver has a nodular contour and heterogeneous signal intensity consistent with chronic liver disease as seen on the previous exam. Perfusion artifact is noted at the periphery of the liver. A serpentine focus of enhancement in hepatic segment 7 is consistent with a portal venous to hepatic venous shunt (series 19/45). No suspicious arterial enhancing liver lesions are identified. The hepatic vasculature is patent.There is mild narrowing of the common bile duct at the expected location of the anastomosis but no intra or extrahepatic biliary ductal dilatation.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Atrophic native kidneys contain multiple cysts. There is no hydronephrosis within the partially visualized right iliac fossa transplant kidney.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Degenerative changes affect the imaged spine.OTHER: No significant abnormality noted.
1.Allograft liver with findings of chronic liver disease. No suspicious liver lesion.2.Patent hepatic vasculature.3.Mild narrowing at the common duct anastomosis without significant intra or extrahepatic biliary ductal dilatation.