PMC3399432_01
An axial CT image demonstrating the common bile duct.. Notes: Vertical arrow: diameter 3.9 mm, flanked by varicosed portal venous collaterals; Horizontal arrow: diameter 10.1 mm.
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A subsequent contrast-enhanced computed tomography (CT) scan of the abdomen showed dilatation of the portal vein in the region of the bifurcation, with collateral portal varices causing compression of the proximal common bile duct (CBD) (Fig. 1).
A coronal MRCP image demonstrating the dilated intrahepatic biliary tree.. Notes: Vertical arrow: diameter of duct indicated 10 mm, with varicosed portal collaterals surrounding the common hepatic duct; Horizontal arrow: diameter 7.3 mm.
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A magnetic resonance cholangio-pancreatogram (MRCP) confirmed these findings and demonstrated intrahepatic bile duct dilatation with a beaded appearance, especially in the left lobe (Figs. 2 and 3).
An MRCP image demonstrating extensive dilatation and structuring of the left intrahepatic biliary tree.. Notes: Vertical arrow: diameter of duct indicated 15 mm, in preference to the right.
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A magnetic resonance cholangio-pancreatogram (MRCP) confirmed these findings and demonstrated intrahepatic bile duct dilatation with a beaded appearance, especially in the left lobe (Figs. 2 and 3).