Evaluate for cholangiocarcinoma. Recurrent PSC status post liver transplant. ABDOMEN:LIVER, BILIARY TRACT: Postsurgical changes from liver transplant. The vessels are patent.There is mild intrahepatic biliary ductal irregular narrowing and dilatation compatible with recurrent primary coursing cholangitis. Mild extrahepatic bile ductal dilatation is unchanged. The hepaticojejunostomy anastomosis appearance is unchanged.In the periphery of segment 8 there is stable mild focal intrahepatic ductal dilatation which is now associated with a geographic perfusional abnormality without an obstructive lesion evident.No focal stricture or discrete mass.SPLEEN: Mild splenomegaly measuring 14.5 cm.PANCREAS: No significant abnormality noted.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: Bilateral breast prosthesis.
No dominant stricture or focal mass. Stable focal mild intrahepatic ductal dilatation in the periphery of segment 8 is now associated with a perfusional abnormality without an obstructing lesion evident.