Figure 12b. Intrahepatic bile duct leak in a 20-year-old man after a high-speed motorcycle collision. (a) Axial contrast-enhanced CT scan shows a laceration of the right lobe of the liver (arrowheads) that extends to the hepatic surface. (b) Axial contrast-enhanced CT scan shows a contusion of the right kidney. (c) Axial contrast-enhanced CT scan shows extensive ascites (*). (d, e) ERCP images show disruption of the right hepatic duct and extravasation of contrast material. Note the pooling of contrast material along the right lobe of the liver (arrowheads in e). (f) Hepatobiliary scan obtained 36 minutes after injection of the tracer shows active biliary leakage. Note the activity along the right lobe of the liver (left arrowhead) and within the peritoneum (right arrowhead).