66-year-old male with history of orthotopic liver transplant. Recent MRA showing patent vasculature but concern for ischemic cholangiopathy. Needs MRCP prior to proceeding with ERCP. ABDOMEN:LIVER, BILIARY TRACT: Status post hepatic transplant. No intra or extrahepatic biliary ductal dilatation. No evidence for choledocholithiasis. The biliary anastomosis is patent. The intrahepatic bile ducts are attenuated peripherally. No suspicious hepatic lesions.SPLEEN: No significant abnormality noted.PANCREAS: Parenchymal atrophy. No pancreatic ductal dilatation.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral native kidneys are atrophic. Right iliac fossa renal transplant (series 1 image 50), which was not included on the prior exam are. No hydronephrosis of the transplant graft.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Trace right pleural effusion. Bibasilar patchy signal could be related to atelectasis versus infiltrates. Clinical correlation is needed.
1.No intra or extrahepatic biliary ductal dilatation. No choledocholithiasis.2.Attenuation of the intrahepatic bile ducts is nonspecific. "Pruning" of the bile ducts can be seen in chronic rejection.3.Stable bibasilar patchy infiltrates of the lung bases could represent atelectasis versus infection. Follow-up imaging is recommended.