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Figure 9b. Hemobilia after a percutaneous liver biopsy in a 26-year-old man with a liver transplant. (a) Coronal MIP image from a 3D respiratory-triggered T2-weighted fast SE restore data set, obtained 3 days after the biopsy, demonstrates irregular filling defects in the dilated bile ducts (arrowheads) with an intact duct-to-duct anastomosis (arrow) and an intact recipient duct. (b) Axial T1-weighted gradient-recalled-echo MR image shows a curvilinear area of high signal intensity (arrow) along the dilated bile ducts, a finding suggestive of hemobilia. (c) Coronal MIP image from a 3D respiratory-triggered T2-weighted fast SE restore data set, obtained 5 months after the diagnosis of hemobilia, depicts multiple intrahepatic ducts with focal areas of mild dilatation (straight arrows) as well as small biliary lakes (arrowheads), findings suggestive of diffuse cholangitis and bile duct necrosis, which were confirmed at surgery. The recipient duct (curved arrow) appears normal.
