Hepatocellular carcinoma with tumor thrombus in bile duct: A proposal of new classification according to resectability of primary lesion

Figure 4 Computed tomography and magnetic resonance cholangiopancreatography images of patient No. 5. A-D: Computed tomography images of suspected bile duct tumor thrombus (without obvious enhancement in arterial phase) taken before it was misdiagnosed and mistreated as common bile duct stone by endoscopic retrograde cholangiopancreatography during the patient’s first admission; E-H: Computed tomography images of the bile duct tumor thrombus (green arrow) taken in outpatient follow-up 3 mo after last endoscopic retrograde cholangiopancreatography treatment; I-L: Computed tomography images of the bile duct tumor thrombus (green arrows) taken before receiving thrombus extraction during the patient’s second admission.