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Click 42-year-old female with bile leak after laparoscopic cholecystectomy. Contrast-enhanced CT scan of the abdomen performed 8 days post intervention. Scan obtained at the confluence of hepatic ducts shows surgical clips in status post cholecystectomy and a focal liver lesion in the sixth segment consistent with hemangioma. Scans obtained at inferior levels show moderate amount of water-density free peritoneal fluid; the common bile duct is not dilated; no free peritoneal air or radiopaque residual biliary calculi are seen. (CT Siemens Somatom; Protocol: 183 mAs, 100 kV, 3 mm slice thickness, 1.5 ml/kg of Ultravist 370, Bayer-Schering, venous phase).

Click 42-year-old female with bile leak after laparoscopic cholecystectomy. Upper abdomen US performed 8 days post intervention. Longitudinal and transverse scans obtained at hepatic hilum show moderate nonspecific perihepatic and peripancreatic fluid (white arrow) containing some echogenic spots, without any significant biliary dilatation. (Hitachi scanner, convex probe, 3.5 MHz).

Click 42-year-old female with bile leak after laparoscopic cholecystectomy. Transverse T1-weighted breath-hold gradient-echo abdominal MR scans. There is a fluid collection in the gallbladder fossa presenting medium signal intensity. The finding is compatible with biloma. (1.5 T Philips; Protocol: TR 242 ms, TE 4 ms, 5 mm thickness).

Click 42-year-old female with bile leak after laparoscopic cholecystectomy. Transverse T1-weighted breath-hold gradient-echo abdominal MR scans obtained during hepatobiliary phase after 20 minutes from intravenous administration of 0.025 mmol per kilogram of body weight of Gd-EOB-DTPA. There is a minimal passage of contrast material from the cystic duct remnant. (1.5 T Philips; Protocol: T1w-GE 3D, TR 3.53 ms, TE 1.68 ms, 4 mm thickness).

Click 42-year-old female with bile leak after laparoscopic cholecystectomy. Transverse T2-weighted fast spin echo abdominal images. The patient is status post-cholecystectomy. A liver hemangioma is seen in the sixth segment. There is a 2.6 x 5.7 x 2.6 cm ovoid thin-walled fluid collection with high signal intensity on T2WI located in the gallbladder fossa; a small connection between the fluid collection and the cystic duct remnant is depicted. (1,5 T Philips; Protocol: TR 553 ms, 80 TE ms, 3 mm thickness).

Click 42-year-old female with bile leak after laparoscopic cholecystectomy. Coronal T2-weighted fast spin echo abdominal images. The patient is status post-cholecystectomy. A liver hemangioma is seen in the sixth segment. There is a 2.6 x 5.7 x 2.6 cm ovoid thin-walled fluid collection with high signal intensity on T2WI located in the gallbladder fossa; a small connection between the fluid collection and the cystic duct remnant is depicted. (1,5 T Philips; Protocol: TR 553 ms, 80 TE ms, 3 mm thickness).

Click 42-year-old female with bile leak after laparoscopic cholecystectomy. Thick-slab heavily T2-weighted MRCP. There is a fluid collection located in the gallbladder fossa. A subtle connection between the fluid collection and the cystic duct remnant is visible. (1.5 T Philips; Protocol: TR 8000 ms, TE 800 ms, 70 mm thickness).