History of liver transplant with IVC compression and aneurysm. ABDOMEN:LIVER, BILIARY TRACT: Postsurgical changes from liver transplant. Stable peripheral wedge-shaped T2-weighted hyperintensity with restricted diffusion likely represents fibrosis. No new suspicious lesion.The portal vein and hepatic veins are patent. The hepatic artery is suboptimally evaluated.The suprahepatic IVC is again poorly opacified and visualized, which is likely a combination of susceptibility artifact from adjacent surgical clips and stenosis. Dorsal to the IVC there is a markedly aneurysmally dilated collateral vessel measuring up to 4.5 x 3.6 cm, similar to prior. Multiple large body wall and retroperitoneal/azygos collateral vessels are again noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral renal cysts, some of which are proteinaceous/hemorrhagic, similar to prior. Subtraction imaging, although limited on the left, demonstrate no abnormal post-contrast enhancement.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Mildly dilated focal loop of small bowel in the midabdomen is again noted and appears slightly increased in caliber compared to the prior study. No evidence of bowel obstruction. This may be postsurgical in etiology.The SMA appears to originate immediately inferior to the celiac artery.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Cardiomegaly without pericardial effusion.
1.No focal suspicious hepatic lesion.2.Persistent narrowing of the suprahepatic IVC is suspected with extensive abdominal wall and retroperitoneal collateralization, some of which are aneurysmally dilated, unchanged. 