Elevated LFTs. History of pancreas transplant. The study is limited by the patient's inability to hold his breath. Large volume ascites also limits the image quality.ABDOMEN:LIVER, BILIARY TRACT: Limited evaluation of the liver. No biliary ductal dilatation. Normally distended gallbladder with gallbladder wall thickening/pericholecystic fluid. No gallstone is evident.SPLEEN: No significant abnormality noted.PANCREAS: The native pancreatic parenchyma appears to be replaced by innumerable small and moderate-sized cysts. The transplanted pancreas is noted in the right hemi-abdomen without apparent ductal dilatation and unchanged tail atrophy.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Atrophic kidneys with multiple likely cysts. No hydronephrosis. Right iliac fossa transplanted kidney is only evaluated on the coronal T2 imaging without hydronephrosis.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Large volume of abdominal pelvic ascites.BONES, SOFT TISSUES: Cardiomegaly. Diffuse bladder wall thickening is noted.OTHER: Note is made of diffuse decrease in signal intensity of the liver, spleen and axial skeleton bone marrow.
1. Suboptimal study due to patient respiration or ascites.2. No intrahepatic biliary ductal dilatation. Normally distended gallbladder with non-specific wall thickening/pericholecystic fluid without gallstones evident. 3. The native pancreatic parenchyma is replaced by numerous cysts. Stable appearance of partially evaluated transplanted pancreas.4. Abnormal low T2-weighted signal intensity of the liver, spleen and axial skeleton bone marrow. This may be seen in the setting of hemosiderosis. 5. Non-specific diffuse bladder wall thickening.