Male; 70 years old. Reason: Assess hepatic vessel patency, panc head mass followup, biliary strictures History: cirrhosis, s/p OLT 8/95 ABDOMEN:LIVER, BILIARY TRACT: Status post liver transplant. No focal hepatic mass. Cavernous transformation of the main portal vein, similar to prior exam. Hepatic veins are patent. Hepatic artery and its branches are patent.Mild right intrahepatic biliary ductal dilation with a stricture seen of the right main hepatic duct near Klatskin's point (series 4/1 and 83). No significant left intrahepatic biliary ductal dilation. Patent choledochojejunostomy.SPLEEN: Stable subcentimeter splenic cysts. Extensive parasplenic collateral vessels are again seen.PANCREAS: Three cystic lesions in the head of the pancreas are seen and have probable connections to the pancreatic duct, most compatible with sidebranch IPMNs. A superomedial lesion measures 11 x 6 mm, unchanged (series 9/21). A posterior lesion measures 7 x 7 mm, unchanged (series 9/23). An anterior lesion measures 16 x 14 mm, again mildly increased in size since prior study when it measured 9 x 9 mm (series 9/26). The lesions do not have mural nodularity or significant enhancement. No main pancreatic duct dilation.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Stable bilateral renal 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.Status post liver transplant with no focal hepatic lesions.2.Stable cavernous transformation of the main portal vein.3.Mild right intrahepatic biliary ductal dilation with a stricture seen of the right main hepatic duct. Patent choledochojejunostomy.4.Multiple sidebranch IPMNs of the pancreatic head with one of the lesions again mildly increased in size. No mural nodularity or significant enhancement.