Case 31: Recurrent Pyogenic Cholangitis (RPC)

Diagnostic Category:

Clinical Presentation:

47 year old Korean woman with jaundice.

CT: Hepatolithiasis, lobar steatosis

Imaging Findings:

CT show classic signs of recurrent pyogenic cholangitis: hyperdense hepatolithiasis of the left biliary system and steatosis of the unaffected right hepatic lobe on unenhanced exam. Moderate chronic bile duct dilatation on the left causing chronic inflammation and fibrosis of the left lobe.