PMC8138231_01
Endoscopic retrograde cholangiopancreatography cholangiogram revealing a 10-mm mid-common bile duct stricture with concomitant intrahepatic duct and suprapapillary dilation; no filling defect was noted.
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F1
We reported the following ERCP findings: after CBD cannulation, contrast material was injected with the cholangiography revealing a 10-mm mid-CBD stricture with concomitant intrahepatic duct and suprapapillary dilation up to 17 mm; no filling defect was noted (Fig. 1).
a Transesophageal color Doppler showing the interatrial shunt due to the presence of patent foramen ovale. b Transesophageal bubble study confirming the interatrial shunt due to the presence of patent foramen ovale.
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F2
A bedside transesophageal echocardiogram bubble study was undertaken that demonstrated a patent foramen ovale (Fig. 2a, b).
Head computed tomography revealing an extensive hypodense lesion in the right parieto-occipital lobe, indicative of an extensive ischemic infarction.
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F3
An emergency head computed tomography followed revealing no air but an extensive hypodense lesion in the right parieto-occipital lobe, indicating an extensive ischemic infarction (Fig. 3).