Presentation
Elevated ALP and bilirubin.
Patient Data
Age: 75 years
Gender: Male
From the case:
Primary sclerosing cholangitis
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The left liver lobe is very small, probably due to segmental cirrhosis, and contains dilated peripheral bile ducts with irregular beaded configuration.
MRCP shows a moderate stricture of the left hepatic duct at the bifurcation.
Mild diffuse CBD dilatation, physiological for postcholecystectomy status.
Mild free ascites around the liver.
Right renal simple epithelial cysts.
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