Hepatitis C with recurrent cirrhosis. Hepatocellular carcinoma screening ABDOMEN:LIVER, BILIARY TRACT: Susceptibility artifact in the left hepatic lobe limits evaluation of the medial and lateral segments of the left lobe. Status post liver transplant. Heterogeneous parenchymal signal compatible with recurrent chronic liver disease. The hepatic artery, hepatic veins, and portal vein are patent. No arterially enhancing lesions or suspicious lesions otherwise are seen. Mild common bile duct dilation is similar to prior, without intrahepatic biliary ductal dilation. Bulbous cystic duct remnant again seen.SPLEEN: Moderate splenomegaly.PANCREAS: The 7 x 5 mm nonenhancing pancreatic cystic lesion in the distal body is unchanged. Normal pancreatic duct.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: The kidneys are mildly atrophic, similar to prior. Otherwise, no significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Postoperative changes in the anterior abdominal wall. Otherwise, no significant abnormality noted.OTHER: Trace ascites. Extensive upper abdominal varices again noted.
Limited study due to susceptibility artifact, without suspicious hepatic lesions identified. 