患者男,42岁。因上腹不适、黄疸、消瘦、乏力、黑便就诊。查体:发育正常,全身皮肤、黏膜黄染,胆囊区肿大,可扪及右下腹约8cm×3cm,左下腹6cm×6cm的包块,质不硬,无明显压痛,活动度可。B超检查:肝脏大小、形态正常,被膜光滑完整,实质回声光点均匀。肝内、外胆管均扩张,右叶0.9cm Male patient, 42 years old. Due to abdominal discomfort, jaundice, weight loss, fatigue, black will visit. Examination: normal development, body skin, yellow mucosa, gallbladder area swollen, palpable and right lower quadrant about 8cm × 3cm, left lower quadrant 6cm × 6cm mass, the quality is not hard, no significant tenderness, activity can be. B-ultrasound: the size of the liver, normal morphology, smooth and complete capsule, the actual echo spot evenly. Intrahepatic and extrahepatic bile ducts were expanded, the right lobe 0.9cm