60-year-old male status post OLT for HCC/HCV. Evaluate for lesions and assess hepatic vessel patency. ABDOMEN:LIVER, BILIARY TRACT: No suspicious focal hepatic lesions. Mild wedge-shaped T2 signal abnormality in segment 8 is likely related to perfusional change due to thrombosed portal vein (see below). No intra-or extrahepatic biliary ductal dilatation. Mild pneumobilia, similar to prior CT on 2/10/2015.The proper hepatic artery and its branches are patent. Limited evaluation of the common hepatic artery due to artifact from surgical clips. Main portal vein, left portal vein, and most of the right portal vein are patent. A segment 8 branch of the portal vein is thrombosed, similar to prior CT on 11/18/2014 (series 103/43). Hepatic veins are patent.SPLEEN: Splenomegaly with the spleen measuring 15.2 cm in length.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Multiple peri-splenic and gastroesophageal varices are again noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Complex collection within the anterior abdominal wall seen on prior CT on 2/10/2015 is decreased in size with small residual collection measuring up to 2.6 x 1 cm (series 8/13).OTHER: No significant abnormality noted.
1. Postsurgical changes from liver transplantation. No suspicious focal hepatic lesions. Stable appearance of the hepatic vasculature as detailed above.2. Complex collection within the anterior abdominal wall seen on prior CT has decreased in size.