Coronavirus disease 2019 (COVID-19) was declared a global pandemic by the World Health Organization on March 11, 2020, and has significantly impacted nearly every facet of medicine. Interventional radiology (IR), of course, has been no exception. This article highlights the experiences of a community-based IR department as they create a safe environment for patients and staff during the pandemic while continuing to provide high-quality care.

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Sleeve gastrectomies have quickly become the most common bariatric weight loss surgery performed in the United States (U.S.). Given that hundreds of thousands of gastrostomy tubes (G tubes) are also placed each year, the number of patients with prior sleeve gastrectomies requiring a G tube will surely rise in the coming years. The case presented herein is a patient with prior sleeve gastrectomy who underwent percutaneous G tube placement.

The biliary system plays a vital role in maintaining the physiologic functions of the human body; therefore, biliary obstruction requires prompt diagnosis to prevent further complications and decrease mortality. The vast array of benign and malignant etiologies that cause biliary obstruction make diagnostic and therapeutic decision-making challenging. Ultrasound is often the first diagnostic modality utilized. It is safe, non-invasive, and quick to obtain, but lacks the ability to diagnose the more ominous causes of biliary obstruction. Additional modalities to evaluate the biliary tree include CT, MRI, MRC, MRCP, ERCP, and PTC. This review outlines the importance of the biliary system, provides the clinical presentation of biliary obstruction, and examines the available imaging and treatment modalities and when to appropriately use them.