PMC7306511_01
Hemisection of left liver lobe demonstrating yellow tan intrahepatic stones filling the dilated left biliary ductal system and fibrosis and inflammation of the bile duct walls.
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Pathology demonstrated numerous (up to 0.5 mm) yellow tan calculi filling the entire dilated left biliary ductal system and fibrosis and inflammation of the bile duct walls, as seen in the section of left liver lobe (Fig. 1).
SEM of the surface of whole specimens and of the core of fractured specimens demonstrating stones composed almost entirely of smooth plates.
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Spectroscopy. Micro-XCT of stone cross section (not shown) demonstrated low mineral density throughout the specimen and a hollow core. SEM of the surface of whole specimens and of the core of fractured specimens demonstrated the stones were made almost entirely of smooth plates (Fig. 2).