Case contributed by Natalie Yang
Diagnosis almost certain


Obstructive jaundice.

  • Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.



Extensive intrahepatic biliary dilatation caused by an expansile CBD heterogeneously enhancing lesion which is invading the liver. 

Right portal vein appears severely narrowed, highly suspicious of tumor invasion. 

Ascites and incidental right renal cyst. 

Case Discussion

Extensive cholangiocarcinoma.

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