Fig. 2
From: Validity of MDCT cholangiography in differentiating benign and malignant biliary obstruction
Mirizzi syndrome. Mirizzi syndrome due to impacted cystic duct stones exerting minimal extrinsic intra-hepatic biliary dilatation in a patient with calcular cholecystitis. Female patient, 48 years old, presented with epigastric pain, intermittent attacks of jaundice, and fever. a Axial pre-contrast image showing impacted stone at the level of the cystic duct. b Axial (arterial phase) and c axial (portal phase) images that show partially contracted GB over dense GB stones with surrounding minimal peri-cholecystic free fluid associated with two impacted cystic duct stones exerting extrinsic minimal intrahepatic biliary dilatation and normal caliber CBD. d, e Coronal reformatted MDCT cholangiography images showing two adjacent impacted cystic duct stones more clearly. f, g Axial and coronal oblique reformatted MDCT cholangiography images showing the cystic duct with its impacted stones and the GB in one plane