Male; 48 years old. Reason: eval biliary system for strictures, f/u of fluid collections, s/p OLT x 2 History: elevated AP ABDOMEN:LIVER, BILIARY TRACT: Status post hepatic transplant. No focal hepatic lesions. Posteriorly located perihepatic hematoma has decreased in size with minimal residual blood products seen tracking along the posterior hepatic lobe, much of the area is seen as mild adjacent stranding.Gallbladder is absent. Mild central intrahepatic biliary ductal prominence, left greater than right, with slight irregularity seen of some of the intrahepatic bile ducts. The common hepatic duct is also prominent with widely patent choledochojejunostomy. SPLEEN: Splenomegaly with the spleen measuring up to 17-cm.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Small bilateral renal cysts, including a hemorrhagic or proteinaceous cyst in the right mid pole.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Mild dilation of right upper quadrant small bowel loops likely due to ileus with no abrupt transition point to suggest obstruction. Nonspecific colonic wall thickening is similar to prior study. Interval removal of G-tube.BONES, SOFT TISSUES: Body wall anasarca. Previously seen anteriorly located elongated anterior bowel wall fluid collection is a stable to slightly decreased, measuring up to 7.8 x 1.7 cm (series of 401/12), previously 8.3 x 1.5 cm.OTHER: Moderate to large right pleural effusion, increased since prior study. Unchanged trace left pleural effusion.Mild abdominal ascites. Stable to slightly decreased size in small, scattered intraabdominal postsurgical hematomas at the splenic hilum and posterior to the stomach.
1. Mild prominence of the biliary tree with widely patent choledochojejunostomy as detailed above.2. Stable to slightly decreased anterior abdominal wall fluid collection and intraabdominal postsurgical hematomas.3. Moderate to large right pleural effusion, increased since prior study.4. Stable nonspecific colonic wall thickening.