Fever status post liver transplant ABDOMEN:LIVER, BILIARY TRACT: Status post hepatic transplant. Status post cholecystectomy. New from prior MRI is portal venous stent, not well assessed like other vascular structures without IV contrast. Patent cholecystojejunostomy. Unchanged prior study is mild intrahepatic biliary duct prominence, more pronounced on left lobe and right, with mild central ductal irregularity again seen, image 15 series 401. No measurable perihepatic hematoma seen currently.SPLEEN: Splenomegaly, spleen measures 18.2 cm in longitudinal dimension.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Right midpole subcentimeter hemorrhagic/proteinaceous cyst.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Small ascites. Bowel wall thickening nonspecific in setting of ascites. Mildly dilated small bowel, measuring up to 4.9 cm in right abdomen, similar to earlier CT study from July 6, 2015, collapsed distal ileal loops suggested, fluid seen distally in colon. Overall appearance again suspicious for partial SBO or ileus.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Decreased size of now small right pleural effusion, interval resolution of previously visualized trace left pleural effusion. Continued decrease in size of perigastric and perisplenic hematomas, former now a subcentimeter focus measuring 0.5 x 0.3 cm while latter measures up to 1.2 cm, previously 1.6 x 1 cm. Interval decrease in size of right ventral subcutaneous fluid collection, measuring 4.1 x 1.5 cm, previously measured 7.8 x 1.7 cm.
1. Small ascites. Bowel wall thickening nonspecific in setting of ascites. Mildly dilated small bowel, measuring up to 4.9 cm in right abdomen, similar to earlier CT study from July 6, 2015, collapsed distal ileal loops suggested, fluid seen distally in colon. Overall appearance again suspicious for partial SBO or ileus.2. Unchanged mild prominence of biliary tree with patent choledochoduodenostomy. New from prior MRI portal venous stent.3. Decreased size of ventral abdominal fluid collection and intra-abdominal hematomas as above.4. Decreased pleural fluid.