This 38 year old patient had extensive abdominal lymphadenopathy with obstructive jaundice. The oncologist had referred him to our institution for biliary stenting. Contrast injection on ERCP showed a dilated biliary tree (A & B: red arrows) with strictures seen in the distal CBD and below the confluence (A & B: blue arrows). A 10cm long 10 French plastic stent was placed (C: blue arrows).
