Status post liver transplant with biliary biliary stricture status post dilation. Increasing alkaline phosphatase. ABDOMEN:LIVER, BILIARY TRACT: Status post liver transplant. The liver is normal in morphology. There are several scattered subcentimeter hepatic cysts.There is mild intrahepatic biliary ductal dilatation. The donor duct measures 5 mm and the recipient duct measures 9 mm. There is focal narrowing at the anastomosis. The hepatic artery appears diminutive at the level of the porta hepatis. The portal and hepatic veins are patent.No focal suspicious lesion. The vessels appear patent. The gallbladder is surgically absent.SPLEEN: The spleen is normal in size.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.
Focal narrowing at the biliary duct anastomosis with mild intrahepatic biliary ductal dilatation. The hepatic artery appears diminutive at the level of the porta hepatis. 