Primary sclerosing cholangitis
Past history of ulcerative colitis, now abnormal liver function tests.
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Typical gross central stricturing of the ducts with proximal dilatation.
3D MRCP nicely shows gross stricturing centrally involving the right and left hepatic ducts with segmental and subsegmental involvement.
T1 post-contrast, early arterial phase, shows regional perfusion abnormalities.
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