PMC4480243_01
ERCP showing pruning of the biliary tree.
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fig4
Abdominal MRI did not reveal any sign of hepatocellular carcinoma but suggested a chronic intrinsic liver disease with possible sclerosing cholangitic etiology due to presence of focal segmental dilatation of intrahepatic bile ducts at the junction of segments IVa and VIII and beading of the right intrahepatic bile duct (Figure 4).
MRCP significant for right intrahepatic beading.
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fig5
ERCP was significant for small intrahepatic ducts with pruning without any obvious beading or ductal stones/debris (Figure 5).