Status post liver/kidney transplant in February 2005. History of cirrhosis. Evaluate for lesions and hepatic vessel patency. ABDOMEN:LIVER, BILIARY TRACT: Status post liver transplant. The liver morphology is unremarkable. The liver intensity is mildly increased on in phase imaging suggesting iron deposition. The biliary anastomosis is patent without a flow-limiting stenosis appearing similar to the prior study. The hepatic artery is patent.The portal vein is patent. There is partially occlusive chronic thrombus in the superior mesenteric vein, unchanged from 8/12/2013. Hepatic veins are patent.No ascites or other specific stigmata of portal hypertension.No suspicious liver lesion.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. The left iliac fossa transplant kidney appears atrophic with mild hydronephrosis. Right iliac fossa transplant kidney without hydronephrosis.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Small duodenal diverticulum.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Status post liver transplant without suspicious lesion. No biliary ductal dilatation. The hepatic arteries and portal vein are patent.Chronic partially occlusive SMV thrombus.