A 40 year old patient with cirrhosis of the liver and biliary stricture

This 40 year old patient had cirrhosis of the liver and a biliary stricture. He had undergone extensive workup for his liver and biliary disease, save for a liver biopsy. His tumor markers were normal, and so was his colonoscopy. He had earlier undergone ERCP with stent placement seven months ago. His latest MRCP showed dilated intrahepatic biliary channels (A & B: green arrows) and a stricture at the level of junction of the common hepatic and cystic ducts (A & B: white arrow). We placed a 10 French plastic stent of 10cm length. He has been admitted for further workup. A liver biopsy is on the cards.