Fig. 11
From: CT and MR imaging of primary biliary cholangitis: a pictorial review
A 50-year-old female with vague right upper abdominal pain with diarrhea. Multiple hypointense nodules (*, gallstone) in the common hepatic duct and the bile ducts of the left lobe of the liver, with corresponding bile duct dilatation, were observed (a). Enhancement of the dilated bile duct wall and heterogeneous enhancement (arrow) of the surrounding liver parenchyma can be seen on the PVP image (b) and shows the significant dilatation of the common hepatic duct, bilateral hepatic ducts and branches, manifests as a signal void in the MRCP image (arrows) (c). Pathological confirmation after surgical resection: intrahepatic cholelithiasis, liver fibrosis (S4) and secondary biliary cirrhosis