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