Biliary reflux detection in anomalous union of the pancreatico-biliary duct patients

Figure 3 A 40-year-old woman with anomalous union of the pancreatico-biliary duct and a type  Ic choledochal cyst. A: T2-magnetic resonance cholangiography (MRC) shows a long common channel (arrow), with diffuse bile duct dilation; B: Sixty-minute delayed gadoxetic acid-enhanced MRC coronal image; C: Maximum intensity projection (MIP) reconstruction image show a filling defect (arrow heads) in the central portion of the distal common bile duct (CBD); D: Gadoxetic acid-enhanced MRC coronal images taken 30 min after a fatty meal; E: MIP reconstruction images show a decreased filling defect (arrow heads) in the distal CBD, indicative of pancreatico-biliary reflux.