Reason: Evaluate for lesions, assess hepatic vessel patency History: s/p combined liver/kidney transplant 2005, recurrent cirrhosis ABDOMEN:LIVER, BILIARY TRACT: Status post liver transplant. The central portion of the liver demonstrates a somewhat reticular enhancement pattern suggestive of fibrosis. The liver intensity is mildly increased on in phase imaging suggesting iron deposition. No suspicious focal hepatic lesions are identified.The biliary anastomosis is patent without significant stenosis appearing similar to the prior study. The hepatic artery is patent. The portal vein is patent. The previously seen thrombus in the SMV has resolved. Hepatic veins are patent.SPLEEN: Borderline splenomegaly measuring 13 cm.PANCREAS: Pancreas is normal in morphology and signal intensity without a focal lesion.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: End-stage left native kidney. Partially visualized left iliac fossa transplant kidney appears atrophic with moderate hydronephrosis. Partially visualized right iliac fossa transplant kidney grossly without hydronephrosis.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: There is a small duodenal diverticulum anterior to the second portion of the duodenum (series 7, image 27) which was shown to contain air on prior CTs and currently appears to be filled with debris. The area lacks restricted diffusion. BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Status post liver transplant without suspicious focal lesions. Hepatic fibrosis. Patent hepatic vasculature.2.Recanalization of previously seen SMV thrombus.