In the early spring of 2009, a team of doctors at the Lucile Packard Children’s Hospital at Stanford University lifted a 2-year-old into an MRI scanner. The boy, whom I’ll call Bryce, looked tiny and forlorn inside the cavernous metal device. The stuffed monkey dangling from the entrance to the scanner did little to cheer up the scene. Bryce couldn’t see it, in any case; he was under general anesthesia, with a tube snaking from his throat to a ventilator beside the scanner. Ten months earlier, Bryce had received a portion of a donor’s liver to replace his own failing organ. For a while, he did well. But his latest lab tests were alarming. Something was going wrong — there was a chance that one or both of the liver’s bile ducts were blocked.
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