54 year old male patient with heart/kidney transplant and abnormal LFTs. ABDOMEN:LIVER, BILIARY TRACT: No focal hepatic lesion. There is paradoxical shift of signal on in and out of phase imaging of the liver suggesting iron deposition. No intra- or extrahepatic biliary ductal dilatation. Cholelithiasis without evidence of cholecystitis. There are no foci of signal void within the common bile duct to suggest choledocholithiasis or other obstructing lesion identified. The hepatic vasculature is patent.SPLEEN: There is paradoxical shift of signal on in and out of phase imaging of the spleen suggesting iron deposition.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: The kidneys are atrophic and contain multiple cystic lesions which are likely related to chronic renal disease. Two lesions within the right upper pole which do not meet criteria for simple cysts, do not have appreciable enhancement, and demonstrate intrinsic T1 signal. RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Susceptibility artifact related to a median sternotomy.OTHER: No significant abnormality noted.
1.Cholelithiasis without evidence of cholecystitis or other acute hepatic abnormality.2.Atrophic kidney with multiple cystic lesions, which are likely related to chronic kidney disease. 3.Two right upper pole renal lesions with intrinsic T1 signal likely representing blood products and no appreciable enhancement; while these may represent hemorrhagic cysts, continued close attention is suggested on routine imaging.