Snapshot A 72-year-old woman presents to the emergency department with generalized fatigue, malaise, and right upper quadrant pain. She has a past medical history of obesity and cholelithiasis. Physical examination is notable for scleral icterus. Abdominal ultrasound demonstrates ductal dilatation without clear cause. Cross-sectional MRI demonstrates a malignancy of the intrahepatic bile duct. Introduction Overview login to view 2 more bullets Epidemiology Demographic login to view 1 more bullet Risk factors login to view 5 more bullets Presentation Symptoms login to view 5 more bullets Physical exam login to view 1 more bullet Imaging Abdominal ultrasound login to view 2 more bullets Cross-sectional CT or MRI login to view 2 more bullets Differential Gallbladder cancer login to view 2 more bullets Treatment Treatment is geared towards the staging of the malignancy login to view 1 more bullet Complications Biliary obstruction Pancreatic duct obstruction