Status post recent 5/23/2015 liver transplant with elevated LFTs. ABDOMEN:LIVER, BILIARY TRACT: Postsurgical changes from liver transplant. The hepaticojejunostomy is unremarkable without intrahepatic biliary ductal dilatation. No focal lesion. Along the dorsal surface of the liver extending from the porta hepatis and dorsal to the left hepatic lobe is a loculated homogeneous fluid collection measuring 14.8 x 3.1 cm.SPLEEN: Minimal peri-splenic fluid. Borderline splenomegaly. PANCREAS: The pancreas is atrophic and significantly decreased in signal intensity suggestive of iron deposition. 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: Bilateral gynecomastia.OTHER: Small right greater than left pleural effusion with adjacent compressive atelectasis.
This study is limited for evaluation of solid organ and vascular pathology without intravenous contrast. No intrahepatic biliary ductal dilatation. Fluid collection extending from the porta hepatis along the dorsal surface of the left hepatic lobe, persistent and mildly increased since the CT dated 6/16/2015. If there is clinical concern for a biloma a HIDA scan may be obtained.