Study index: 96-27 Vendor Siemens Modality DR Examination ERCP History 67-year-old male patient, clinical status: two month jaundice. Query space-occupying lesion of the bile duct. Findings The pancreaticus major as well as a small accessory duct are well contrasted. Discrete variations in caliber are visible in the region of the pancreatic duct suggestive of chronic inflammatory changes. Variations in caliber are also visible in the multiple small branches. No indications of contrast media depots suggestive of cysts or pseudocysts. No signs of intraluminal concrements. Well-contrasted bile duct and left and right hepatic ducts. Here there are smooth contours without indication of changes in diameter or stenosis. There are no signs of intraluminal concrements. The discrete changes of caliber in the pancreaticus major, accessory ducts and multiple small branches are suggestive of chronic inflammatory changes. Normal appearance of the bile duct, cystic duct and gallbladder with good drainage of the contrast medium into the duodenum after the endoscopic examination.