PMC3617886_01
Cross-sectional image of the abdomen. This section depicts a normal-caliber common bile duct and a large distal tissue mass (asterisk) within the gallbladder. Periportal lymphadenopathy (arrow) is also noted.
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F1
However, note was made of the presence of a tissue mass in the fundus of the gallbladder with portal and celiac lymphadenopathy (fig. 1).
Histopathological findings from a computed tomography-guided liver biopsy. Histopathological examination with hematoxylin and eosin stain (x100) reveals diffuse appearance of fine, foamy hepatocytes (arrow) indicative of biliary cholestasis. There is no evidence of metastatic disease processes involving the liver.
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F2
There was no evidence of metastatic involvement of the liver or other hepatic pathologies (fig. 2).
Occlusion cholangiogram obtained during ERCP showing adequate filling of the cystic duct and evidence of a gallbladder mass (arrows) without visualization of the proximal biliary system (asterisk).
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F3
Endoscopic retrograde cholangiopancreatography (ERCP) with an occlusion cholangiogram revealed multiple and severe diffuse strictures of the intrahepatic bile ducts consistent with sclerosing cholangitis (fig. 3).