Multiple biliary strictures in a patient with lymphoproliferative disorder

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).