A male patient in mid 30’s presents with GI tumor, started on chemotherapy. Now present with progression of disease. Features of biliary obstruction.

Male patient in early 50’s presented with increased confusion over last few months. No significant past medical or surgical history. All the blood works were unremarkable. A CT was requested for further evaluation.

Patient with H/O NASH Cirrhosis, had TIPS-Placed 6 months ago. Now presents with a large variceal bleed, uncontrollable by endoscopy No technical issues while placement No follow up studies until this presentation  

A middle aged male with a solitary mets to the liver from CR cancer. The mets is at the dome of the liver, tricky position along wit challenging to perform definitive therapy. based on the options, it was decided to perform microwave ablation.

Middle aged male with a periportal mass, and prior admissions for GI bleeding (esophageal varices); ERCP: Biliary ductal dilation, hepatic duct mass, 2 stents, biopsies proved inconclusive of a diagnosis. Presently admitted with ascites and was found to have portal vein thrombosis extending from the SMV to the intrahepatic portal branches  

An old male whos a poor surgical candidate presents with biliary colic. Past history includes gastric bypass. No surgical or endoscopic options available.  

Patient with pancreatic cancer, underwent Whipple’s procedure, Now presenting with large volume of abdominal ascites requiring frequent tapping (3-4 litres every 3 days). CT Abdomen and pelvis demonstrate focal narrowing of the portal vein confluence, Gastric varices, Gastro-colic varices. Reasons for ascites?  

Middle aged female presents 1 week after whipples procedure, with increasing abdominal pain. CT demonstrate peri-anastomotic collection. Within next few hours, patient becomes HD unstable and on pressors. Transferred to university hospital for further management. Decision was made to drain the peri-anastomotic collection. Based on the findings, PTHC and drain placement was considered.  

Young male with colorectal mets. Presents with hepatic lesions involving both lobes. Tumor board discussion. Request for RT PVE , segment 4 Embo and RT HV embo.  

Left medial lobe isolated HCC, Not a Tx candidate.  

Benign hepatic cyst present for many years, now with excruciating abdominal pain.  

Post Whipples bile leak.