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Klatskin tumors and other cholangiocarcinoma - Lieberman's ...

Klatskin tumors and other cholangiocarcinoma - Lieberman's ...

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Patient KR: Soft Tissue <strong>and</strong><br />

Lymph Node Necrosis on C+ CT<br />

C+ CT, axial, arterial phase, patient KR<br />

Image Source: BIDMC (PACS)<br />

Triple phase imaging is<br />

important because<br />

<strong>cholangiocarcinoma</strong> has<br />

slow wash out in delayed<br />

phase due to dense, fibrous<br />

stroma<br />

Ill-defined, low attenuation,<br />

soft-tissue around the porta<br />

hepatis, consistent with<br />

tumor growth<br />

Low attenuation mass<br />

between IVC <strong>and</strong> portal<br />

vein, consistent with necrotic<br />

lymph node<br />

12

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