Axial and coronal T2W images of biliary system show an irregular wedge-shaped, hyperintense cystic lesion in segment II of the liver with curvilinear T2 hypointense foci. The cystic lesion was seen directly extending into left hepatic duct with extension of T2W hypointensities into common hepatic duct resulting in mild right and moderate left upstream intrahepatic biliary dilatation.
These features are consistent with intrabiliary rupture of hepatic hydatid cyst causing obstructive biliopathy.