History of primary sclerosing cholangitis status post transplant 2013. Evaluate for biliary obstruction. Patient is status post total proctocolectomy secondary to ulcerative colitis. ABDOMEN:LIVER, BILIARY TRACT: Status post liver transplant with hepaticojejunostomy. Scattered mild focal intrahepatic biliary ductal dilatation and narrowing is grossly unchanged. No new dominant structure or focal mass. No findings to suggest stenosis at the anastomosis site which is relatively well seen. The liver is normal in morphology size and signal intensity without biliary ductal dilatation vascular abnormality or focal lesion.SPLEEN: Chronic splenic infarct with scarring. The spleen measures 14 cm in craniocaudal dimension, unchanged. Perisplenic collateral vessels.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Right renal simple appearing cysts. Trace perirenal fluid, unchanged. RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Status post colectomy. Right lower quadrant ileostomy without complication. Esophageal varices.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Stable examination with mild dilatation and irregular narrowing of the biliary tree without a dominant stricture or focal mass.Status post liver transplant and hepaticojejunostomy without complication.Stable chronic splenic infarct.