36-year-old male. Cirrhosis status post OLT 4/90. Evaluate for lesions, assess hepatic vessel patency. ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic liver morphology with no suspicious focal lesions. Diffuse low T2 signal liver consistent with iron deposition, unchanged. Mild lacelike T2 hyperintensity that shows mild delayed enhancement in the right hepatic lobe consistent with confluent fibrosis, unchanged. Two small hepatic cysts. Portal vein and hepatic veins are patent. TIPS in expected position and with internal enhancement indicating patency.Gallbladder is not visualized, presumably resected. Multiple splenic and gastrohepatic varices are present, unchanged.Central intrahepatic biliary ductal dilatation, unchanged.SPLEEN: Stable moderate splenomegaly. Markedly enlarged splenic artery and vein, unchanged.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral small renal cysts.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.
Cirrhotic liver morphology with diffuse iron deposition without suspicious focal mass.