History of kidney and liver transplant February 2008. Evaluate for renal cell carcinoma. ABDOMEN:LIVER, BILIARY TRACT: Status post liver transplant. The liver is normal in morphology, size and signal intensity.The liver is not entirely included in the field-of-view on several imaging sequences as the study was protocoled for evaluation of the renal lesion. Given this limitation no focal abnormality is evident.The portal vein appears patent. Interval placement of a percutaneous right-sided biliary drain with persistent moderate right greater than left intrahepatic biliary ductal dilatation, appearing similar to the prior. MRCP images were not obtained.SPLEEN: Mild splenomegaly measuring 14 cm in craniocaudal dimension without a focal lesion.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Interval resolution of the previously seen complex left renal cyst. No new suspicious renal lesion. No hydronephrosis.The native kidneys are atrophic.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Persistent focal narrowing of the celiac artery origin, appearing similar to the prior.The right iliac fossa transplant kidney is partially imaged without hydroureteronephrosis. Several simple cysts are noted.OTHER: No significant abnormality noted.
1.Interval resolution of the complex left renal cyst. No suspicious renal lesion.2.Status post liver transplant. Interval right-sided biliary drain with persistent right greater than left intrahepatic biliary ductal dilatation appearing similar to the prior. No focal liver lesion. Please note that the study was protocolled for evaluation of the kidney and did not include MRCP images or complete evaluation of the liver parenchyma.