A 60-year-old male patient with known PLD presenting with recent onset jaundice. Axial plane T2W MR image demonstrates innumerable cysts scattered throughout the liver parenchyma. Also, note is made of dilation in the intrahepatic bile ducts (arrowheads). This dilation abruptly ends at the confluence of the right and left hepatic ducts (arrow). The patient underwent endoscopic retrograde cholangiopancreatography and endoscopic brush biopsy confirmed Klatskin tumor.