56-year-old female patient status post liver transplant presents with inability to place biliary drain. Note that the examination is limited due to the lack of intravenous contrast and vasculature cannot be fully evaluated.ABDOMEN:LIVER, BILIARY TRACT: There is interval resolution of left lobe abscess. Left-sided biliary ductal dilatation is stable to mildly increased compared to prior examination. There is also mild to moderate irregular biliary ductal dilatation in the right lobe liver, stable to slightly increased compared to prior. There is anastomosis of the left hepatic biliary duct to the jejunum and separate anastomosis of the right hepatic biliary duct to the jejunum. Both of the anastomotic sites are patent. Porta hepatic lymphadenopathy again noted.SPLEEN: Splenomegaly again noted.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: Right-sided pleural effusion.
1.Irregular intrahepatic biliary structures are unchanged to slightly increased compared to prior examination. There are patent right and left duct anastomoses to the jejunum. Lack of intravenous contrast limits evaluation of liver parenchyma and hepatic vasculature.2.Interval resolution of left lobe of the liver abscess.3.Right-sided pleural effusion.