EURORAD ESR

Case 10775

An unusual cause of obstructive jaundice

Author(s)
Ramachandra Reddy Chittal1, Izabela Georgiades2, Deepak Prasad1

(1) Department of Clinical Radiology
(2) Department of Histopathology
Bradford Royal Infirmary,
Duckworth lane,
Bradford BD9 6RJ
United Kingdom
 
Patient
female, 70 year(s)
 
 
  • Figure 1
    3D MIP image from MRCP

    3D MIP image from MRCP demonstrates intra-hepatic biliary duct dilatation (arrow heads) secondary to an intraluminal filling defect in mid-distal CBD (arrow)

     
    Area of Interest: Biliary Tract / Gallbladder; Imaging Technique: MR; Procedure: Education; Special Focus: Neoplasia;
     
     
  • Figure 2
    Coronal FISP images

    Coronal FISP images demonstrating an isointense lesion within the mid-distal CBD (arrow)

     
    Area of Interest: Biliary Tract / Gallbladder; Imaging Technique: MR; Procedure: Education; Special Focus: Neoplasia;
     
     
  • Figure 3
    Coronal and axial CT slices

    Coronal and axial CT slices show a soft tissue density mass in the mid-distal CBD (arrows) causing biliary dilatation. Small volume ascites (arrow heads), secondary to patient’s other severe co-morbidity, is also noted

     
    Area of Interest: Biliary Tract / Gallbladder; Imaging Technique: CT; Procedure: Education; Special Focus: Neoplasia;
     
     
  • Figure 4
    ERCP images

    ERCP images demonstrate the polypoidal filling defect in the mid-distal CBD (arrows) causing biliary dilatation (arrow heads)

     
    Area of Interest: Biliary Tract / Gallbladder; Imaging Technique: Fluoroscopy; Procedure: Education; Special Focus: Neoplasia;
     
     
  • Figure 5
    Histology images

    Histology images showing small tubulopapillary fragments containing biliary type epithelium with mostly bland nuclei. Focally there was evidence of mild nuclear crowding amounting to low grade dysplasia

     
    Area of Interest: Biliary Tract / Gallbladder; Imaging Technique: Experimental; Procedure: Education; Special Focus: Neoplasia;
     
     
3D MIP image from MRCP demonstrates intra-hepatic biliary duct dilatation (arrow heads) secondary to an intraluminal filling defect in mid-distal CBD (arrow)
 
Coronal FISP images demonstrating an isointense lesion within the mid-distal CBD (arrow)
 
Coronal and axial CT slices show a soft tissue density mass in the mid-distal CBD (arrows) causing biliary dilatation. Small volume ascites (arrow heads), secondary to patient’s other severe co-morbidity, is also noted
 
ERCP images demonstrate the polypoidal filling defect in the mid-distal CBD (arrows) causing biliary dilatation (arrow heads)
 
Histology images showing small tubulopapillary fragments containing biliary type epithelium with mostly bland nuclei. Focally there was evidence of mild nuclear crowding amounting to low grade dysplasia
 
 
 
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