66-year-old man with history of orthotopic liver transplant, now with fever and abdominal pain. ABDOMEN:LIVER, BILIARY TRACT: Patient is status post orthotopic liver transplant. No focal hepatic lesion is identified. The liver is normal in signal and morphology.There is focal narrowing at the biliary enteric anastomosis with the extrahepatic bile duct measuring up to 8 mm in diameter (15/85). Questionable T2 hypointense material within the extrahepatic bile duct is suggestive of sludge. No obstructing stone or extrinsic obstructing lesion identified. Additionally, there is mild diffuse intrahepatic biliary ductal dilatation.SPLEEN: No significant abnormality noted.PANCREAS: Pancreas is atrophic, otherwise normal.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: Lateral ventral hernias again noted with postoperative changes in the anterior midabdomen.OTHER: No significant abnormality noted.
1.Mild narrowing at the biliary enteric anastomosis with mild intra and extra hepatic ductal dilatation.2.Possible sludge in the bile duct, but no stone or extrinsic compressing mass.3.Limited examination with field of view not including the liver on postcontrast imaging. Postcontrast images will be repeated at no cost to the patient and addendum to this report will be issued at that time.