You are shown an AP view from a percutaneous trans-hepatic cholangiogram of a jaundiced patient. What is the MOST likely diagnosis?
RA denotes right anterior ductal system, RP denotes right posterior ductal system,L left duct, G gallbladder. Broad open arrow points to pa of duct narrowed due to tumour, broad solid arrow to track of percutaneous neddle used to inject contrast,arrow head to cystic duct, curved arrow to common hepatic duct Reference from sutton radiology diagnostics
Pancreatic carcinoma
Sclerosing cholangitis
Cholangiocarcinoma
Cholelithiasis
Miscellaneous