Imaging the Abdominal Manifestations of Cystic Fibrosis

Figure 6

(a) Coronal T2 HASTE image of an MRCP performed to assess abdominal pain in a 44-year-old CF patient 2 weeks after bilateral double lung transplant demonstrates calculi in the distended fundus of the gallbladder. There is small volume pericholecystic fluid (arrow) and gallbladder wall thickening. Calculi are shown in the proximal common bile duct (CBD, curved arrow) consistent with choledocholithiasis. (b) Fluoroscopic image from the same patient during endoscopic retrograde cholangiopancreatogram (ERCP) and sphincterotomy. The dilated CBD is outlined by iodinated contrast with guide wire in situ. Filling defects in the distal CBD consistent with calculi (arrow).

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