History of cirrhosis with chronic rejection, presenting for HCC screening. ABDOMEN:LIVER, BILIARY TRACT: Postsurgical changes from liver transplant with fibrosis of the right hepatic lobe and posterior segment atrophy with compensatory hypertrophy of the left lobe. Since the 2013 study there has been mild interval increase in multiple sites of intrahepatic duct stricturing and dilatation in both lobes. The common hepatic duct is diffusely narrowed, similar to prior. No suspicious arterial enhancing lesion.The portal vein is patent. The hepatic artery is patent.SPLEEN: Mild splenomegaly, measuring 16.5 cm in craniocaudal dimension.PANCREAS: Stable mild narrowing of the mid-body main pancreatic duct without a focal lesion, similar to prior.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Cirrhotic liver morphology with right hepatic lobe fibrosis and posterior segment atrophy without a suspicious arterial enhancing lesion.2.Mild worsening in intra-hepatic biliary ductal dilation associated with multi-focal intrahepatic stricturing. 