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Reformatted image from a CT cholangiogram demonstrates multiple small hepatic calcifications around a normal biliary tree (giving the appearance of a biliary tree in blossom!).
Such calcifications are typical for healed granulomas. The most common cause of calcified granulomas is previous tuberculosis. Other differentials include histoplasmosis and less commonly, brucellosis or coccidioidomycosis.
Cholecystectomy clips also present.