She will be treated by Dr Kuvshinoff at Roswell Park Cancer Institute. They found she had a stricture in her bile duct during an MRCP. They placed a plastic stent and took brushings while they were in there. The brushings came back positive for malignant cells. The CT scan did show a tumor on the outside of the common bile duct. The GI specialist said it did not look like it was effecting the pancreas or the duct that leads to the pancreas. She developed acute pancreatits and an ileus following the MRCP and has been in a lot of pain. She does not look jaundiced anymore and her liver enzymes are slowly returning to normal. Thank you for your kind words and advice.