Female; 49 years old. Reason: bile duct patency s/p OLT History: increased alk phos ABDOMEN:LUNG BASES: Small pleural effusions with adjacent bibasilar compressive subsegmental atelectasis, partially visualized.LIVER, BILIARY TRACT: Postsurgical changes of liver transplant. There is a single right upper quadrant surgical drain with tip overlying the hepatic dome. Decreased right hepatic lobe subcapsular hematoma with mild residual mixed T2 signal intensity debris-like material, most compatible with residual blood products. Mild perihepatic ascites, mildly increased at the hepatic dome. Previously seen heterogeneous signal in segment 7 has resolved. No focal hepatic lesions. New mild right intrahepatic bile duct dilation due to central right intrahepatic bile duct stricturing (series 1301/7). Mild narrowing of the common hepatic duct near Klatskin's (series 701/98). Patent choledochojejunostomy.Normal vascular flow voids of the portal vein and hepatic veins are present on T2 sequences. Limited evaluation of the hepatic artery flow void.SPLEEN: Splenomegaly. Peripheral heterogeneous signal in the spleen is concerning for splenic infarction similar to prior study.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Infrarenal IVC filter.BOWEL, MESENTERY: Increased body wall anasarca. Interval resolution of proximal small bowel dilation.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Small amount of ascites.
1. New mild right intrahepatic bile duct dilation due to central right intrahepatic bile duct stricturing (series 1301/7). Mild narrowing of the common hepatic duct near Klatskin's (series 701/98). Patent choledochojejunostomy.2. Decreased right hepatic lobe subcapsular hematoma, though some residual blood products persists.