8-month-old female status post liver transplant x 2, rule out occlusion ABDOMEN:LIVER, BILIARY TRACT: Postoperative changes of liver transplantation. Normal hepatic parenchymal enhancement. There is narrowing of the portal vein at its anastomosis with surrounding low signal artifact likely from adjacent surgical material. The remainder of the main portal vein and its branches are patent. There is poor opacification of the hepatic artery, which is incompletely evaluated on this study. SPLEEN: The spleen measures 7.7 cm with collateral vessels noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Symmetric renal cortical enhancement without evidence of hydronephrosis.RETROPERITONEUM, LYMPH NODES: No lymphadenopathy.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Marked abdominal ascites.
1. Narrowing of the portal venous anastomosis with patent flow distally within the main portal vein and its branches.2. Splenomegaly and abdominal ascites.