PMC5153297_01
Magnetic resonance cholangiopancreatography evaluation for possible obstructive jaundice due to the presence of elevated bilirubin on laboratory results.. Note: The radiologist reported patient's liver diffuse with decreased signal consistent with diagnosis of secondary hemochromatosis. The green circles highlight the blackened out liver in coronal (left) and axial (right) planes.
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An magnetic resonance cholangiopancreatography (MRCP) (Figure 1) was done to rule out an obstruction.
Prussian blue stain of patient's liver biopsy to rule out any presence of autoimmune disease or viral etiology.. Note: Extensive iron staining (blue) of hepatocytes indicates the excess deposition confirming the diagnosis of hemochromatosis.
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The biopsy later confirmed the presumptive diagnosis of the secondary hemochromatosis with marked fibrosis and 4+ iron deposits (Figure 2).