Jaundice, fever, abdominal pain for one week.
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Long tubular structures with well-defined echogenic walls are noted within the liver most likely in the intrahepatic biliary channels. Surrounding ducts appear prominent.
Gall bladder sludge is also seen.
The features are very likely for biliary ascariasis.
Case contribution: Hidayatullah Hamidi and Mohibullah Salehzai