Female; 19 years old. Reason: HCC screening and eval for biliary strictures History: cirrhosis, and chronic rejection ABDOMEN:LIVER, BILIARY TRACT: Again seen is a cirrhotic-appearing transplanted liver. Multiple scattered siderotic nodules are seen, but there are no suspicious, enhancing hepatic lesions.Gallbladder is absent. Mild dilation of the left hepatic bile ducts with transition point in the mid liver and a long segment, narrowed intrahepatic bile duct extending from the transition point to the choledochojejunostomy (MRCP series 7/22). More severe stricturing is seen over a short segment measuring approximately 1 cm just past the transition point (MRCP series 6/20).SPLEEN: Splenomegaly with large amount of peri-splenic varices. Small scattered siderotic nodules are also noted within the spleen.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1. Cirrhotic transplanted liver with no suspicious, enhancing hepatic lesions.2. Mild dilation of the left intrahepatic bile ducts with transition point in the mid liver and a narrowed/strictured intrahepatic bile duct seen extending from the transition point to the choledochojejunostomy. 3. Sequela of portal hypertension including splenomegaly and perisplenic varices.