History (HX):
Clinical history of ulcerative colitis for 6 years 27 year – M
Abdominal liver function tests and jaundice
Findings:
Mild dilatation of intrahepatic bile ducts and strictures at
RHD and LHD as well as intrahepatic bile duct beading
Diagnosis (DX):
Primary sclerosing cholangitis
Discussion :
The most common findings in PSC on MRI:
-Intrahepatic bile duct dilatation (77%)
-Intrahepatic bi le ducts stricture (67%)
-Extrahepatic bile duct wall thickening and enhancement (64%)
- Extrahepatic bile duct stenosis (50%)
-Intrahepatic bile duct beading (36%) key finding MIP