Male, 3 years old. Reason: MRCP to evaluate biliary system for strictures. History: s/p liver transplant with elevated LFTs, bile duct dilatation on USEXAMINATION: MRI abdomen with and without contrast ABDOMEN:LIVER, BILIARY TRACT: Dilation of the proximal and distal aspects of the left hepatic duct, measuring 6-7mm.Dilation of the proximal aspect of the right hepatic duct, measuring approximately 5mm. The distal portion of the right hepatic duct is not dilated.The common hepatic duct is dilated, measuring 6mm.The common bile duct is only partially visualized, with the visualized portion mildly dilated, measuring 5-6mm. The distal portion of the common bile duct at its insertion is not visualized.No filling defect in the visualized portions of the biliary tree.Hepatomegaly, with the liver measuring approximately 16cm.The gallbladder is partially collapsed.SPLEEN: Normal size and morphology. Small splenules.PANCREAS: Normal size and morphology. The pancreatic duct is not visualized.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Normal size and morphology. No focal mass or hydronephrosis.BOWEL, MESENTERY:No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Intrahepatic and extrahepatic biliary ductal dilatation as detailed above. Note that the entire length of the common bile duct is not completely visualized.