Status post liver transplant 2011 for primary sclerosing cholangitis. Elevated LFTs. ABDOMEN:LIVER, BILIARY TRACT: Postsurgical changes from liver transplant. There are several stable subcentimeter cysts. No significant extrahepatic biliary ductal dilatation with patent choledochojejunostomy. The intrahepatic bile ducts are stable in caliber compared to the prior study.The visualized portions of the hepatic artery are patent. The portal vein and hepatic vein are patent.Stable nonspecific hypoenhancing focus in segment 7 (series 11/28) and segment 8 (series 11/120) without corresponding T2 hyperintensity.SPLEEN: Mild splenomegaly measuring 13.3 cm in the craniocaudal dimension.PANCREAS: Cystic lesions within the pancreas are again noted, the largest lesion in the pancreatic body measuring 1.8 cm (series 7/18), compared to 1.7 cm previously. No pancreatic ductal dilatation or abnormal postcontrast enhancement. These likely represent branch type IPMNs.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Several bilateral subcentimeter renal simple cysts.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted. Focally distended short segment of small bowel in the right hemi-abdomen appears to have progressed from the prior study.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1. Minimal change in the pancreatic cystic lesion which likely represents a side branch IPMN without suspicious imaging characteristics.2. Stable mild peripheral intrahepatic biliary ductal dilatation.3. Progressive dilatation of a focal short segment of small bowel in the right hemiabdomen. Correlate for clinical history of small bowel surgery. If clinically indicated a CT may be considered for further characterization.