History of primary sclerosing cholangitis status post liver transplant 2013 evaluate for worsening strictures and hepatic vasculature. ABDOMEN:LIVER, BILIARY TRACT: Postsurgical changes from liver transplant and hepaticojejunostomy. Minimal irregular dilatation of the left intrahepatic biliary tree is not significantly changed from the prior study. The right intrahepatic and the extrahepatic biliary tree appear unremarkable. No new dominant stricture or focal lesion. The hepatic vasculature appears patent.SPLEEN: Mild splenomegaly measuring 13.3 cm in length, decreased from prior. Splenic collateral vessels. Probable old splenic infarct from interval embolization of previously seen splenic artery aneurysms.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Right renal cysts are unchanged.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted. Esophageal varices.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Very mild dilatation and irregularity of the left intrahepatic biliary tree is unchanged without a new dominant stricture or focal mass.2.Postoperative changes related to orthotopic liver transplant and hepaticojejunostomy.3.Interval splenic artery aneurysm embolization with chronic splenic infarct. 