The document discusses various causes of narrowing or obstruction of the bile duct, including cholangiocarcinoma, Klatskin tumor, ampullary carcinoma, carcinoma of the head of the pancreas, colon cancer metastases, granular cell tumor, primary sclerosing cholangitis, cholangiolitic hepatitis, chronic pancreatitis, benign strictures post-surgery, and congenital membranous diaphragms. It provides images of each condition illustrating the characteristic appearance of bile duct narrowing or obstruction.