Reason: Previous panc duct leak, perihepatic abscess, follow up History: s/p OLT. ABDOMEN:LIVER, BILIARY TRACT: Postsurgical changes of an orthotopic liver transplant. Stable arterioportal shunting in the left lobe of the liver. Interval removal of upper abdominal drain. No evidence of loculated fluid collection.SPLEEN: Splenic infarct has decreased in size with increased scarring. Splenomegaly, unchanged.PANCREAS: Previously seen hemorrhage within the pancreatic tail has also resolved. Mildly dilated pancreatic duct in the tail with focal abrupt termination of dilatation in the pancreatic body. The distal pancreatic duct is minimally visualized within the head. The main pancreatic duct again terminates anterior to the distal common bile duct, suggestive of pancreatic divisum. Normal enhancement of the pancreatic head and uncinate process. Relative decreased enhancement within the body and tail, although improved compared to prior exam when the body was not well visualized. This presumably is related the patient's pancreatic injury. No pancreatic or peripancreatic fluid collection.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Mild narrowing of the suprahepatic IVC at the anastomosis is unchanged. BOWEL, MESENTERY: Interval removal of percutaneous gastrostomy tube. BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Interval decrease in ascites.
No abnormal fluid collections. Resolution of pancreatic tail hematoma. Pancreatic duct appearance similar to prior. Decreased enhancement of the pancreatic body and tail, although improved compared to prior, likely representing healing pancreatic injury. 