Transjugular intrahepatic porto-systemic shunt in a patient with extrahepatic portal venous obstruction and portal biliopathy. Common bile duct shows a long smooth stricture (CBD) with upstream dilatation of intrahepatic ducts (IHD). Transjugular intrahepatic porto-systemic shunt (TIPS) (arrows) was placed to decompress the portal venous circulation. Follow-up showed significant improvement in cholangiographic appearances.