23rd July 2023

A 32-year-old presents with new onset jaundice. He reports a several-month history of lack of energy

A 32-year-old presents with new onset jaundice. He reports a several-month history of lack of energy, prior to this admission to hospital.

Liver function tests show a cholestatic pattern. A series of blood tests are sent as part of a non-invasive liver screen, which are all reported as normal. You suspect the patient may have primary sclerosing cholangitis (PSC) and arrange an MRCP.

What is a typical finding of PSC on MRCP imaging?

Select the SINGLE most appropriate option from the list below. Select ONE option only.