PMC4560457_01
Intrahepatic ducts are prominent and appear dilated with irregular border and q few focal strictures. CBD is less prominent and measure up to 4 mm in diameter. No stone or mass lesion is seen in the biliary tree (multiplanar MRCP with a 1.5-T Acheiva 16 channel scanner without contrast).
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The patient was referred for MRCP (magnetic resonance cholangiopancreatography), and it showed multiple strictures in the intra- and extrahepatic bile ducts with mild dilatation, which was compatible with PSC with acute cholangitis process (Fig. 1).
Liver biopsy with Masson's trichrome stain revealing ductopenia.
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Axillary lymph node biopsy with Reed-Sternberg cells.
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Bone marrow biopsy revealed no invasion (Fig. 3).
MRCP after treatment: bile duct findings are compatible with PSC.
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Bile duct findings were compatible with PSC (Fig. 4).