Reason: 33 yo F with hx of HELLP syndrome s/p liver transplant 2/2016 here with acute hepatocellular injury, no evidence of rejection on biopsy, eval for stricture, eval vasculature patency of graft History: s/p OLT now with transaminitis of unclear etiology ABDOMEN:LIVER, BILIARY TRACT: Right hepatic hypodensity, likely a cyst. Status post liver transplant. No intrahepatic or extrahepatic biliary ductal dilatation. The anastomosis is patent. (801/53). There is a small cystic lesion measuring 7 x 6 mm adjacent to the cystic duct remnant (801/58) which may represent an adjacent hepatic cyst or be associated with the remnant. There is a nonenhancing T1 hyperintense lesion in the left hepatic lobe measuring 1.4 x 1.5 cm (1 101/161), likely a small focus of hemorrhage from recent biopsy.The hepatic vasculature is patent.SPLEEN: Small splenules.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: Midline incision with surrounding inflammatory changes. Inflammatory changes within the right anterior subcutaneous tissues are partially visualized.OTHER: No significant abnormality noted.
1.Postsurgical changes of liver transplant with patent biliary system and vasculature.2.Small focus of hemorrhage in the left hepatic lobe, presumably from recent biopsy.