Authors: Meena Thayu, MD; Michael Nance, MD; Petar Mamula, MDSeries Editors: David A. Piccoli, MD; Petar Mamula, MD

Disclosures

October 19, 2006

Further Investigation

Further evaluation revealed no evidence of infectious hepatitis. Serum ceruloplasmin, alpha-1 antitrypsin levels, and an autoimmune hepatitis panel were normal. An abdominal ultrasound was performed, followed by a magnetic resonance cholangiopancreatography (MRCP). See Figures 1 and 2.

Abdominal ultrasound with Doppler. Transverse (color Doppler) view shows gallbladder (gb) anterior to cystic mass (arrows) in region of porta hepatis common bile duct not seen (L, liver).

Magnetic resonance cholangiopancreatography. GB = gallbladder.

What is your interpretation of the abdominal ultrasound and the MRCP?

View the correct answer.

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