52-year-old female with history of renal transplant, pancreatic transplant with chronic diarrhea and weight loss. Evaluate for small bowel inflammation. ABDOMEN:LIVER, BILIARY TRACT: Significant intrahepatic and extra hepatic biliary ductal dilatation, which is stable. Subcentimeter polypoid mass at the ampulla which was identified on the CT 2010 examination is not well appreciated on this nondedicated MR examination.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Marked atrophy of the native kidneys bilaterally. Allograft kidney is identified in the left iliac fossa with interval increase in size of 3 cysts. No evidence of hydronephrosis in the transplant kidney.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No evidence of small bowel wall thickening or inflammation. No evidence of small bowel obstruction or colitis.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No evidence of small bowel wall thickening or inflammation. No evidence of small bowel obstruction or colitis.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.No evidence of small bowel or colonic inflammatory changes as clinically questioned.2.Persistent severe intrahepatic and extra hepatic biliary ductal dilatation suggestive of a choledochal cyst.3.Left iliac fossa transplant kidney with interval increase in size of 3 cysts without evidence of hydronephrosis.