ERCP demonstrating radiolucent filling defects in a dilated CBD in a patient found to have hemobilia. This fluoroscopic image obtained during ERCP is from a patient with recent fine-needle aspiration (FNA) of a malignant-appearing pancreatic head mass one day prior. The radiolucent filling defects throughout the common hepatic duct and more proximal perihilar ducts in the context of recent FNA are consistent with hemobilia.