There is no significant evidence of piecemeal necrosis. The current findings suggest an ongoing bile duct damage due to smoldering cellular rejection. The possibility of a recurrent PSC should also be considered. No significant cholestasis is demonstrated. There is no evidence of onion-skinning or bile duct scars.
Clinical correlation is needed.
However, it also suggests that further study is needed. So we scheduled a percutaneous trans-hepatic cholangiogram to see if there was a stricture in the liver ducts. This means that the radiologist pokes a hole in your side at about the same place a biopsy needle would be inserted, and tries not to hit too many veins before finding a bile duct. Nonionic contrast material was injected into the biliary system. Multiple spot films were obtained.