54 year old male patient status post orthotopic liver transplant for HCC, incidental cholangiocarcinoma. Evaluate for lesions, assess hepatic vessel patency. ABDOMEN:LIVER, BILIARY TRACT: Postsurgical changes of a liver transplant and cholecystectomy with a hepaticojejunostomy. Central curvilinear signal void may represent pneumobilia. No focal hepatic lesion is identified. The hepatic veins and portal veins are patent. Evaluation of the hepatic artery is inadequate secondary to susceptibility artifact related to the surgery.SPLEEN: Mild splenomegaly with the spleen measuring 15 cm in the craniocaudal dimension. PANCREAS: No significant abnormality noted.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: No significant abnormality noted.OTHER: Mild focal dilatation of the distal celiac artery is unchanged.
1.Status post liver transplant without suspicious hepatic lesion.2.Patent hepatic and portal veins. Evaluation of the hepatic artery is inadequate secondary to susceptibility artifact related to the surgery; this can be evaluated with CTA if indicated in the future.3.Mild splenomegaly.