Hepatocellular carcinoma usually develops secondary to a chronic liver disease. In the younger age groups, cancer of the bile ducts, i.e. cholangiocarcinoma, is usually related to chronic cholangitis (primary sclerosing cholangitis, PSC ). The presence of gallstones predisposes the patient to gallbladder cancer. If these cancers are not diagnosed until symptoms emerge, treatment will usually be too late. Radiological examinations carried out in primary care play a significant role in the early detection of hepatocellular carcinoma and biliary tract cancer.