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

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Companion Patient 3: Biliary Dilatation<br />

<strong>and</strong> CHD Stricture on HASTE MRI<br />

MRI, coronal, HASTE, patient HK<br />

Image Source: BIDMC (PACS)<br />

67M with 3 week history of<br />

jaundice, pruritus <strong>and</strong> weight<br />

loss<br />

OSH scans: dilated bile ducts<br />

<strong>and</strong> CBD strictures consistent<br />

with <strong>cholangiocarcinoma</strong><br />

MRA to assess resectability:<br />

Marked bilateral, intrahepatic<br />

ductal dilation to porta hepatis<br />

3 cm common hepatic duct<br />

stricture<br />

32

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