...a 62 year-old white female found to have a left-sided intrahepatic mass with satellite lesions, with metastasis to regional lymph nodes...A biopsy of the liver mass revealed the presence of a poorly differentiated adenocarcinoma that was consistent with intrahepatic cholangiocarcinoma...She was found to have an FGFR2-MGEA5 fusion (Table 7 , Figure 2) and ponatinib monotherapy was pursued as salvage treatment....6 weeks after initiation of therapy she was noted to have anti-tumor activity...