Abstract

A 30-year-old man, while being evaluated for chronic nonspecific abdominal discomfort, was incidentally found to have dilated intrahepatic biliary radicals with stones on routine ultrasonography. On blood investigations, the only remarkable findings were mild thrombocytopenia and elevated level of serum alkaline phosphatase. An unenhanced computed tomography demonstrated a marked cystic dilatation of intrahepatic biliary radicals with numerus stones, predominantly in the right posterior division (Figures A and B).

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