PEIR Digital Library

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RADIOLOGY: HEPATOBILIARY: Case# 32784: UC/CHRONIC, SCLEROSIS, CHOLANGITIS, CHOLANGIO CA?. A 51 year old female. 1) Cirrhotic appearing liver with focal atrophy or scar of the right hepatic lobe, consistent with biliary cirrhosis. Low attenuation adjacent to the internal/external biliary drainage catheter may represent a bile lake, a malignant mass, or post- traumatic hematoma. 2) Flow is not visualized in the right portal vein. 3) Aortocaval, pericardiophrenic, peripancreatic, and gastrohepatic ligament adenopathy are most consistent with malignancy; although reactive adenopathy can occur in these areas, no active infection is thought present in this patient.

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Peter Anderson
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