35-year-old woman status post liver transplant in 1999 for cryptogenic cirrhosis, now with abnormalities in liver function tests. ABDOMEN:LIVER, BILIARY TRACT: The patient is status post liver transplant. The transplant liver is normal in signal and morphology and no focal lesion is identified. The biliary enteric anastomosis is patent and the extrahepatic bile duct appears normal in caliber (series 5, image 70). There is, however, mild intrahepatic biliary ductal dilatation seen throughout both lobes of the liver. The left and right bile ducts are not definitely seen communicating (series 5, image 70), however no intraductal or extrinsic lesion is identified.The portal vasculature is patent.SPLEEN: The spleen is mildly enlarged but otherwise normal.PANCREAS: The pancreas is normal.ADRENAL GLANDS: The adrenal glands are normal.KIDNEYS, URETERS: The kidneys are normal and enhance symmetrically.RETROPERITONEUM, LYMPH NODES: No significant lymphadenopathy noted.BOWEL, MESENTERY: Partially visualized small bowel and colon are normal.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Intrahepatic bile duct dilatation with intrahepatic strictures. No intraductal or extrinsic lesion seen.