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Imaging of the jaundiced adult

¹ Department of Radiology, Royal Bolton Hospitals NHS Trust, Minerva Road, Farnworth, Bolton and ² University Hospitals of South Manchester, Southmoor Road, Wythenshawe, Manchester, UK

• There are many techniques for imaging the jaundiced patient – the rationale for investigation depends on the history, examination and biochemistry.
  
• Transabdominal ultrasound (TAUS) is the initial technique of choice, and will differentiate between obstructive and non-obstructive causes in the majority of cases, and can demonstrate the cause of obstruction in some cases.
  
• The role of MRI and in particular magnetic resonance cholangiopancreatography (MRCP) is rapidly increasing
  
• Invasive techniques, such as endoscopic retrograde cholangiopancreatography (ERCP) should be reserved for therapeutic purposes.
  

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