Female 49 years old Reason: increased AP in setting of OLT History: abd pain ABDOMEN:LIVER, BILIARY TRACT: Liver is normal in morphology. There is mild intrahepatic biliary ductal dilatation within irregularity of the central bile ducts at the level of the biliary enteric anastomosis. No focal hepatic lesions. The hepatic artery, total vein and hepatic veins are patent.There is a right perihepatic fluid collection which is complex and contains hemorrhagic contents. It measures at least 5.3 x 5.3 cm (image 33/series 501). It extends along the superior aspect of the liver beneath the diaphragm.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: IVC filter is in place.BOWEL, MESENTERY: Bowel obstruction. There is a pocket of loculated ascites along the gastrosplenic ligament in the left upper abdomen which is not significantly changed.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Right perihepatic complex fluid collection likely representing a aging hematoma. Superinfection is not excluded.2.Mild intrahepatic ductal dilatation and irregularity at the level of the biliary enteric anastomosis. Overall configuration is not significantly changed from prior.