Status post liver transplant with elevated bilirubin. Transplant in 1999 for biliary atresia. ABDOMEN:LIVER, BILIARY TRACT: Moderate diffuse fatty infiltration of the liver. Cirrhotic liver morphology with marked progressive fibrosis. No focal lesion. Hepaticojejunostomy is noted with mild upstream biliary ductal dilatation appearing similar to mildly progressed from prior. The hepatic artery anastomosis is well seen and the vessel is well opacified.The portal vein is patent. The hepatic veins are opacified. The anastomosis is obscured by surgical clip susceptibility artifact.SPLEEN: Marked splenomegaly measuring 21 cm in length with peripheral small infarcts. No focal lesion.PANCREAS: Peripancreatic collateral vessel formation.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Small volume abdominopelvic ascites.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Mild intrahepatic biliary ductal dilatation to the level of the biliary enteric anastomosis appears mildly progressed from the prior. Cirrhotic liver morphology with progressive fibrosis. No suspicious lesion.