Female; 55 years old. Reason: further characterization of heptic biliary duct dilatation seen in CT scan. Etiology of obstruction? History: 55yo F with OLT in 2011 c/b biliary stricture who presents with hepatic abscess s/p IR drain 4/30 and noted chronic biliary dilation on prior CT scans; question of cause of this dilation. MRCP images are limited due to body wall anasarca and ascites. ABDOMEN:LUNG BASES: Small right pleural effusion and moderate right lower lobe nonspecific atelectasis/consolidation similar to prior CT. Cardiomegaly.LIVER, BILIARY TRACT: Mild right and moderate left intrahepatic biliary ductal dilation, presumably due to stricturing near Klatskin's point as the confluence of the main right and left hepatic ducts is not well seen, all similar to prior MRI on 8/6/13. Small filling defects within dilated left intrahepatic biliary ducts noted, likely due to stones and/or debris.Findings suspicious for multiple left hepatic microabscesses with confluent abscess in the posterior left hepatic lobe status post placement of percutaneous drain, not significantly changed since prior CT on 4/30/15.SPLEEN: Splenomegaly with left upper abdominal varices.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Enlarged cardiophrenic, porta hepatis, and gastrohepatic lymph nodes, likely reactive in the setting of infection.BOWEL, MESENTERY: Mild abdominal ascites.BONES, SOFT TISSUES: Body wall anasarca.OTHER: No significant abnormality noted.
1. Mild right and moderate left intrahepatic biliary ductal dilation presumably due to stricturing just proximal to the anastamotic site with the small bowel.2. No significant interval change in findings suspicious for multiple left hepatic lobe abscesses since prior CT on 4/30/15.