Air in the biliary tree may be secondary to endoscopic retrograde cholangiopancreatography (ERCP) and sphincterotomy, biliary surgery or a biliary fistula.
Click on the x-rays to enlarge.
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Fig 1: Chest x-ray of air in the biliary tree (arrow) | Fig 2: Abdominal x-ray of air in the biliary tree, after ERCP (arrow) |