Case 35:   Cirrhosis

Diagnostic Category:

Clinical Presentation:

57 year old man with impaired liver function

CT: Secondary to biliary cirrhosis and hepatolithiasis

Imaging Findings:

57 year old man on liver transplant list for end stage biliary cirrhosis secondary to chronic biliary stones (hepatolithiasis). Liver explant revealed multiple pigmented stones and severe cirrhosis. Note hyperdense biliary debris and small stones, causing chronic infection or inflammation and cirrhosis.