Cholangioscopy Image Reference Guide
The intent of this reference guide is to help familiarize physicians with the appearance of biliary findings. Images of normal bile, cystic and hepatic ducts are presented to illustrate and familiarize the user with the appearance of a healthy, normal ducts and to contrast with the appearance of the biliary tree in a variety of pathologic states. Images featuring various types of benign and malignant conditions are represented in this guide, including strictures, villous lesions, stone disease, and more.
![normal duct image](/content/dam/bostonscientific/endo/general/spy-discover-digital-cathedar/image-guide/new/normal-ducts/Mucosal_Depressions.png)
Normal DuctsThroughout the biliary tree, the mucosa has a soft creamy pearly color. Mucosal depressions can be seen which become more apparent in the distal bile duct. They tend to disappear during luminal distention. The vascular pattern is well defined, the vessel contour is crisp and the vascular network is evident. Villous formation is also more noticeable in the distal bile duct. It tends to be uniform, avascular and of short stalk. |
![Mucosal Depressions](/content/dam/bostonscientific/endo/general/spy-discover-digital-cathedar/image-guide/new/normal-ducts/Mucosal_Depressions.png)
Mucosal Depressions
![Shallow Depressions](/content/dam/bostonscientific/endo/general/spy-discover-digital-cathedar/image-guide/new/normal-ducts/Shallow_Depressions.png)
Shallow Depressions
![Normal Vascular Pattern](/content/dam/bostonscientific/endo/general/spy-discover-digital-cathedar/image-guide/new/normal-ducts/Normal_Vascular_Pattern.png)
Normal Vascular Pattern
![Normal Villous Pattern](/content/dam/bostonscientific/endo/general/spy-discover-digital-cathedar/image-guide/new/normal-ducts/Normal_Villous_Pattern.png)
Normal Villous Pattern
![Normal Common Bile Duct](/content/dam/bostonscientific/endo/general/spy-discover-digital-cathedar/image-guide/new/normal-ducts/Normal_Common_Bile_Duct.png)
Normal Common Bile Duct
![Normal Cystic Duct Common Bile Duct Junction](/content/dam/bostonscientific/endo/general/spy-discover-digital-cathedar/image-guide/new/normal-ducts/Normal_Cystic_Duct_Common_Bile_Duct_Junction.png)
Normal Cystic Duct Common Bile Duct Junction
![Normal Common Hepatic Duct](/content/dam/bostonscientific/endo/general/spy-discover-digital-cathedar/image-guide/new/normal-ducts/Normal_Common_Hepatic_Duct.png)
Normal Common Hepatic Duct
![Normal Deep Left Hepatic Duct](/content/dam/bostonscientific/endo/general/spy-discover-digital-cathedar/image-guide/new/normal-ducts/Normal_Deep_Left_Hepatic_Duct.png)
Normal Deep Left Hepatic Duct
![Normal Deep Right Hepatic Duct](/content/dam/bostonscientific/endo/general/spy-discover-digital-cathedar/image-guide/new/normal-ducts/Normal_Deep_Right_Hepatic_Duct.png)
Normal Deep Right Hepatic Duct
![Normal Left Hepatic Duct Hilum](/content/dam/bostonscientific/endo/general/spy-discover-digital-cathedar/image-guide/new/normal-ducts/Normal_Left_Hepatic_Duct_Hilum.png)
Normal Left Hepatic Duct Hilum
![Normal Mucosa](/content/dam/bostonscientific/endo/general/spy-discover-digital-cathedar/image-guide/new/normal-ducts/Normal_Mucosa.png)
Normal Mucosa
![Normal Papillary Area](/content/dam/bostonscientific/endo/general/spy-discover-digital-cathedar/image-guide/new/normal-ducts/Normal_Papillary_Area_FULL_MISSING.png)
Normal Papillary Area
![Normal Right Hepatic Duct Hilum](/content/dam/bostonscientific/endo/general/spy-discover-digital-cathedar/image-guide/new/normal-ducts/Normal_Right_Hepatic_Duct_Hilum.png)
Normal Right Hepatic Duct Hilum
![Normal Right Hepatic Duct](/content/dam/bostonscientific/endo/general/spy-discover-digital-cathedar/image-guide/new/normal-ducts/Normal_Right_Hepatic_Duct.png)
Normal Right Hepatic Duct
![Normal Suprapapillarys](/content/dam/bostonscientific/endo/general/spy-discover-digital-cathedar/image-guide/new/normal-ducts/Normal_Suprapapillary.png)
Normal Suprapapillary
![stone disease benign](/content/dam/bostonscientific/endo/general/spy-discover-digital-cathedar/image-guide/new/stone-disease-benign/Cystic_Duct_Stone.png)
![Cystic Duct Stone](/content/dam/bostonscientific/endo/general/spy-discover-digital-cathedar/image-guide/new/stone-disease-benign/Cystic_Duct_Stone.png)
Cystic Duct Stone
![Intrahepatic Stone](/content/dam/bostonscientific/endo/general/spy-discover-digital-cathedar/image-guide/new/stone-disease-benign/Intrahepatic_Stone.png)
Intrahepatic Stone
![Homium Laser Lithotripsy](/content/dam/bostonscientific/endo/general/spy-discover-digital-cathedar/image-guide/new/stone-disease-benign/Homium_Laser_Lithotripsy.png)
Homium Laser Lithotripsy
![villous lesion image](/content/dam/bostonscientific/endo/general/spy-discover-digital-cathedar/image-guide/new/villous-lesions-benign/Villiform_Formation.png)
![Villiform Formation](/content/dam/bostonscientific/endo/general/spy-discover-digital-cathedar/image-guide/new/villous-lesions-benign/Villiform_Formation.png)
Villiform Formation
![Villous Lession](/content/dam/bostonscientific/endo/general/spy-discover-digital-cathedar/image-guide/new/villous-lesions-benign/Villiform_Formation%20copy.png)
Villous Lession
![normal duct image](/content/dam/bostonscientific/endo/general/spy-discover-digital-cathedar/image-guide/new/malignant-strictures/Characteristics_of_a_Malignant_Stricture.jpg)
![Exophytic Vascular Tissue](/content/dam/bostonscientific/endo/general/spy-discover-digital-cathedar/image-guide/new/malignant-strictures/Exophytic_Vascular_Tissue.jpg)
Exophytic Vascular Tissue
![Characteristics of a Malignant Stricture](/content/dam/bostonscientific/endo/general/spy-discover-digital-cathedar/image-guide/new/malignant-strictures/Characteristics_of_a_Malignant_Stricture.jpg)
Characteristics of a Malignant Stricture
![Cholangiocarcinoma Extension](/content/dam/bostonscientific/endo/general/spy-discover-digital-cathedar/image-guide/new/malignant-strictures/Cholangiocarcinoma_Extension.jpg)
Cholangiocarcinoma Extension
![Increased Vascularity](/content/dam/bostonscientific/endo/general/spy-discover-digital-cathedar/image-guide/new/malignant-strictures/Increased_Vascularity.jpg)
Increased Vascularity
![Cholangiocarcinoma STX](/content/dam/bostonscientific/endo/general/spy-discover-digital-cathedar/image-guide/new/malignant-strictures/Cholangiocarcinoma_STX.jpg)
Cholangiocarcinoma STX
![Vascular Lakes](/content/dam/bostonscientific/endo/general/spy-discover-digital-cathedar/image-guide/new/malignant-strictures/Vascular_Lakes.png)
Vascular Lakes
![Showing surgical staples image](/content/dam/bostonscientific/endo/general/spy-discover-digital-cathedar/image-guide/new/filling-defects/Filling_Defects_Showing_Surgical_Staples.jpg)
![Filling Defects Showing Surgical Staples](/content/dam/bostonscientific/endo/general/spy-discover-digital-cathedar/image-guide/new/filling-defects/Filling_Defects_Showing_Surgical_Staples.jpg)
Filling Defects Showing Surgical Staples
![Desquamated Epithelium II](/content/dam/bostonscientific/endo/general/spy-discover-digital-cathedar/image-guide/new/filling-defects/Desquamated_Epithelium_II.jpg)
Desquamated Epithelium II
![Filling Defects Showing Surgical Staples II](/content/dam/bostonscientific/endo/general/spy-discover-digital-cathedar/image-guide/new/filling-defects/Filling_Defects_Showing_Surgical_Staples_II.jpg)
Filling Defects Showing Surgical Staples II
![Stone Debris](/content/dam/bostonscientific/endo/general/spy-discover-digital-cathedar/image-guide/new/filling-defects/Stone_Debris.png)
Stone Debris
![Desquamated Epithelium](/content/dam/bostonscientific/endo/general/spy-discover-digital-cathedar/image-guide/new/filling-defects/Desquamated_Epithelium.jpg)
Desquamated Epithelium
![Sign up call to action section Sign up call to action section](/content/dam/bostonscientific/endo/general/exalt/exalt-model-b/Email_sign-up_color_bar.jpg)
![Biliary Anastamosis Four years](/content/dam/bostonscientific/endo/general/spy-discover-digital-cathedar/image-guide/new/liver-transplant/Biliary_Anastamosis_Four_Years_-_Donor_Duct.png)
![Biliary anastamosis four years](/content/dam/bostonscientific/endo/general/spy-discover-digital-cathedar/image-guide/new/liver-transplant/Biliary_Anastamosis_Four_Years_-_Donor_Duct.png)
Biliary Anastamosis Four Years
![Biliary anastamosis two years](/content/dam/bostonscientific/endo/general/spy-discover-digital-cathedar/image-guide/new/liver-transplant/Biliary_Anastamosis_Two_Years.png)
Biliary Anastamosis Two Years
![Biliary Anastamosis Six Months](/content/dam/bostonscientific/endo/general/spy-discover-digital-cathedar/image-guide/new/liver-transplant/Biliary_Anastamosis_Six_Months.png)
Biliary Anastamosis Six Months
![Native Cystic Duct Biliary Anastamosis Four Years](/content/dam/bostonscientific/endo/general/spy-discover-digital-cathedar/image-guide/new/liver-transplant/Native_Cystic_Duct_Biliary_Anastamosis_Four_Years.png)
Native Cystic Duct Biliary Anastamosis Four Years
![Biliary Anastamosis 18 Months Intrahepatic Stones](/content/dam/bostonscientific/endo/general/spy-discover-digital-cathedar/image-guide/new/liver-transplant/Biliary_Anastamosis_18_Months_Intrahepatic_Stones.png)
Biliary Anastamosis 18 Months Intrahepatic Stones
![Epithelial Bridge](/content/dam/bostonscientific/endo/general/spy-discover-digital-cathedar/image-guide/new/epithelial-bridge/Epithelial_Bridge.png)
![Epithelial Bridge](/content/dam/bostonscientific/endo/general/spy-discover-digital-cathedar/image-guide/new/epithelial-bridge/Epithelial_Bridge.png)
Epithelial Bridge
![Epithelial Bridge II](/content/dam/bostonscientific/endo/general/spy-discover-digital-cathedar/image-guide/new/epithelial-bridge/Epithelial_Bridge%20copy.png)
Epithelial Bridge II
![Portal Vein Thrombosis Portal Cholangiopathy](/content/dam/bostonscientific/endo/general/spy-discover-digital-cathedar/image-guide/new/portal-vein-thrombosis-and-cholangiopathy/Portal_Vein_Thrombosis_Portal_Cholangiopathy.png)
![Portal_Vein_Thrombosis_Portal_Cholangiopathy](/content/dam/bostonscientific/endo/general/spy-discover-digital-cathedar/image-guide/new/portal-vein-thrombosis-and-cholangiopathy/Portal_Vein_Thrombosis_Portal_Cholangiopathy.png)
Portal Vein Thrombosis Portal Cholangiopathy
![Portal Vein Thrombosis Portal Cholangiopathy IV](/content/dam/bostonscientific/endo/general/spy-discover-digital-cathedar/image-guide/new/portal-vein-thrombosis-and-cholangiopathy/Portal_Vein_Thrombosis_Portal_Cholangiopathy_IV.png)
Portal Vein Thrombosis Portal Cholangiopathy IV
![Portal_Vein_Thrombosis_Portal_Cholangiopathy II](/content/dam/bostonscientific/endo/general/spy-discover-digital-cathedar/image-guide/new/portal-vein-thrombosis-and-cholangiopathy/Portal_Vein_Thrombosis_Portal_Cholangiopathy_II.png)
Portal Vein Thrombosis Portal Cholangiopathy II
![Portal Vein Thrombosis Portal Cholangiopathy III](/content/dam/bostonscientific/endo/general/spy-discover-digital-cathedar/image-guide/new/portal-vein-thrombosis-and-cholangiopathy/Portal_Vein_Thrombosis_Portal_Cholangiopathy_III_NOT_FULL.png)
Portal Vein Thrombosis Portal Cholangiopathy III
![Hemobilia image](/content/dam/bostonscientific/endo/general/spy-discover-digital-cathedar/image-guide/new/Hemobilia.png)
![Hemobilia](/content/dam/bostonscientific/endo/general/spy-discover-digital-cathedar/image-guide/new/Hemobilia.png)
Hemobilia
![Sign up call to action section Sign up call to action section](/content/dam/bostonscientific/endo/general/exalt/exalt-model-b/Email_sign-up_color_bar.jpg)
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