Reason: 31yo with ileo-colonic crohn's w/PSC s/p OLT in 2006. Elevated LFT's, needs imaging for further eval. Here with +cdiff History: diarrhea ABDOMEN:LIVER, BILIARY TRACT: Status post right hepatic liver transplant. There is mild intrahepatic biliary ductal dilatation and dilatation of the common duct with short segment narrowing at the biliary enteric anastomosis (12/3). No intrahepatic biliary narrowing to suggest recurrent PSC. No suspicious hepatic lesions. The portal venous system is patent.Main portal vein is enlarged with multiple perisplenic collateral vessels.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Right renal T2 hyperintensity, likely a cyst.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.
Mild narrowing at the biliary enteric anastomosis suspicious for an anastomotic stricture with mild intrahepatic biliary ductal dilatation.