67-year-old male with a history of orthotopic liver transplant 11/05 with prior hepatic abscess, and biliary anastomotic stricture. Follow up evaluation of biliary stricture and hepatic abscess. ABDOMEN:LIVER, BILIARY TRACT: Note is made of diffuse low T2 signal abnormality affecting the liver and spleen with associated loss of signal intensity on in phase sequences, consistent with secondary hemosiderosis. There is moderate dilation of the right posterior segmental branch of the intrahepatic biliary system. The remainder of the intra-and extrahepatic biliary system is normal in appearance. Percutaneous biliary drain in place.No focal mass lesions are identified, however, lack of intravenous contrast limits evaluation of solid organs.SPLEEN: Note is made of diffuse low T2 signal abnormality affecting the liver and spleen with associated loss of signal intensity on in phase sequences, consistent with secondary hemosiderosis. PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.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.
1.Focal biliary ductal dilation of the right posterior segmental branch of the intrahepatic biliary system.2.Findings consistent with hemosiderosis of the liver and spleen.