59 year old male patient status post liver transplant in 1996 with elevated liver enzymes. ABDOMEN:LIVER, BILIARY TRACT: Post surgical changes of a liver transplant with hepaticojejunostomy. Suboptimal arterial timing, however, no suspicious hepatic lesion demonstrating washout is identified. There is stable minimal intrahepatic biliary ductal dilatation. No dominant stricture. Susceptibility artifact within the central biliary tree is likely due to air as seen on prior CT. The hepatic veins and portal veins are patent. Susceptibility artifact from a hepatic artery stent limits evaluation of the arterial vasculature.SPLEEN: There are perisplenic varices and borderline splenomegaly. PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Post-surgical changes from a partial left nephrectomy or left lower pole scarring. Bilateral subcentimeter T2 hyperintensities are too small to characterize, but likely represent cysts. RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1. No suspicious hepatic lesion. No dominant stricture. No discrete biliary features to suggest PSC. 2. No significant biliary ductal dilatation with mild pneumobilia. 