69-year-old male patient with cirrhosis status post OLT 9/2010 for HCV. Evaluate for lesions, assess hepatic vessel patency. LIMITED ABDOMENLIVER: The transplant liver measures 13.8 cm in length and demonstrates coarsened hepatic echotexture. A left hepatic cyst measures 0.9 x 0.6 x 0.8 cm, similar to the prior study. The main portal vein stent is present.BILIARY TRACT: There is no intra or extrahepatic biliary ductal dilatation. The common duct measures 5 mm in diameter.PANCREAS: An approximately 1.3 x 1.0 cm area of hypoechogenicity is noted within the body of the pancreas.SPLEEN: The spleen measures 12.2 cm in length. RIGHT KIDNEY: The right kidney measures 9.0 cm in length and demonstrates renal cortical thinning. No evidence of hydronephrosis.OTHER: The left kidney measures 10.6 cm in length. No evidence of hydronephrosis.
1. Patent transplant hepatic vasculature.2. Coarsened hepatic echotexture which can be seen with hepatic parenchymal dysfunction.3. Region of hypoechogenicity in the pancreas; MRI/MRCP is recommended for further evaluation.