infertility nejm mri table ct cholangiocarcinoma workup diagnosis bells cbd - GrepMed

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Dilated Common Bile Duct on POCUS
50's yo patient with RUQ abd pain. Vitals stable/afebrile. Labs: WBC

Vitals stable/afebrile ... Subsequently had CT ... scan and MRI/MRCP ... mass in distal CBD ... Diagnosed with cholangiocarcinoma

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