Tanzilah Afzal Barrow MBBCh, Abstract Co-Author: Nothing to Disclose

Ayesha Nasrullah MBBS, Presenter: Nothing to Disclose

Victoria Barnes, Abstract Co-Author: Nothing to Disclose

Rafik Filobbos, Abstract Co-Author: Nothing to Disclose

Velauthan Rudralingam MBBCh, Abstract Co-Author: Nothing to Disclose

1. Demonstrate the wide range of common and uncommon pathological abnormalities involving the biliary tree. 2. Illustrate how careful interpretation of the cross-sectional imaging findings together with clinical history can establish the correct diagnosis promptly and initiate treatment which may be potentially life saving. 3. Highlight interpretational pitfalls.

1. Etiology of common & common biliary tree pathology. 2. Review main learning points for the general radiologist. Case examples to include: • Congenital (Biliary atresia, Caroli’s disease, choledochal cyst) • Choledochalcholithiasis (calculi, Mirizzi’s syndrome- type 1/2) • Inflammatory (IgG4 related systemic disease, PSC) • Infectious (cholangitis, AIDS cholangiopathy, Oriental cholangiohepatitis, biliary parasites) • Neoplasia (cholangiocarcinoma, biliary cystadenoma, ampullary tumour) • Miscellaneous (haemobilia secondary to pseudoaneurysm, bile duct necrosis) SUMMARY • A sound knowledge of the spectrum of biliary tree pathology together with the clinical context is key in identifying the likely underlying condition. • Radiologists need to be aware of the spectrum of CT and MR appearances of bile duct disease & its possible causes in order to facilitate prompt appropriate management.

http://abstract.rsna.org/uploads/2014/14014632/14014632_scw7.pdf

Barrow, T, Nasrullah, A, Barnes, V, Filobbos, R, Rudralingam, V, Imaging Spectrum of Biliary Tree Pathology: Not a Single Branch.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14014632.html