History of liver transplant with recurrent hepatitis C presents with nausea and vomiting and elevated LFTs. ABDOMEN:LIVER, BILIARY TRACT: The liver measures 18 cm in craniocaudal dimension. It is normal in morphology.Marked signal loss on out of phase imaging compatible with diffuse fatty infiltration.No focal suspicious liver lesion.The hepatic artery is well seen and is opacified aside from susceptibility artifact from surgical clips. No flow limiting stenosis.There is moderate prominence of the common bile duct and central bile ducts with mild narrowing at the anastomosis.The portal vein and hepatic veins are patent.No suspicious liver lesion.SPLEEN: The spleen is normal in morphology and size measuring 10.6 cm in length without a focal lesion. Iron deposition of the spleen. PANCREAS: The pancreas is normal in morphology and signal intensity without a focal lesion. The main pancreatic duct is normal caliber.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Symmetric mild perinephric fluid is nonspecific. No hydroureteronephrosis or suspicious lesion.RETROPERITONEUM, LYMPH NODES: No enlarged retroperitoneal lymph nodes. Mild atherosclerotic disease of the abdominal aorta.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Surgical changes in the anterior abdominal wall. At least small right pleural effusion. Mild right basilar atelectasis. Mild bilateral gynecomastia. Nonspecific heterogeneous marrow signal intensity.OTHER: No significant abnormality noted.
1.Diffuse fatty infiltration of the liver. No suspicious liver lesion.2.Expected postoperative appearance of the vasculature which appears patent. Moderate prominence of the common bile duct and central bile ducts with mild narrowing at the anastomosis.3.Small right pleural effusion. Additional nonemergent findings as above.