Case 22:   Cholangiocarcinoma

Diagnostic Category:

Clinical Presentation:

43 year old man with elevated bilirubin and abnormality seen on liver ultrasound.

CT: Intraductal, papillary growth type, left hepatic ducts

Imaging Findings:

CT shows ill defined low attenuating mass in the left lobe with associated biliary ductal dilation. ERCP images show "goblet-type" filling defect in the left hepatic duct.  Biopsy revealed cholangiocarcinoma.