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Fig. 3. —Intraductal intrahepatic cholangiocarcinoma in 64-year-old man in whom disease was confirmed by left lobectomy. Preoperative diagnosis was hepatocellular carcinoma with bile duct invasion. In this case, pathology revealed intraductal mass in distal end of dilated duct with tumor casts in peripheral small ducts. CT scan shows low-attenuation mass (arrows) compared with hepatic parenchyma in distal end of dilated bile duct in left lateral segment. Increased attenuation (arrowheads) in duct compared with bile are also seen in peripheral ducts.

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