Male 58 years old Reason: eval for lesions in liver/ pancreas, f/u biliary strictures, s/p OLT 4/11 History: elevated liver tests ABDOMEN:LIVER, BILIARY TRACT: Status post liver transplant with a biliary enteric anastomosis. Mild intrahepatic biliary ductal dilatation is present without significant change. Hepatic and portal veins are patent. No suspicious hepatic lesions. Hypoenhancing focus in segment 7 is unchanged. There is mild scattered intrahepatic biliary ductal dilatation. SPLEEN: Spleen is enlarged with upper abdominal portosystemic varices.PANCREAS: Cystic lesion in the pancreatic body measures 1.8 cm as seen on image 22 of series 5. Small cystic foci in the pancreatic tail and head are unchanged. No pancreatic ductal dilatation.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Small right renal cysts. No hydronephrosis.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Mild dilatation of the small bowel in the right hemiabdomen likely postsurgical given the roux limb for the biliary enteric anastomosis.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.No suspicious hepatic lesions. Mild intrahepatic biliary ductal dilatation persists.2.No significant change in the cystic pancreatic body lesion.