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DOI:10.2214/AJR.07.3197
AJR 2008; 191:228-232
© American Roentgen Ray Society

Clinical Observations

Hepatobiliary and Pancreatic MRI and MRCP Findings in Patients with HIV Infection

Mehmet Bilgin1,2, N. Cem Balci3, Ali Erdogan4, Amir Javad Momtahen3, Samer Alkaade5 and Wigbert S. Rau1

1 Department of Radiology, University Hospital Giessen and Marburg, Giessen, Germany.
2 Turkish–German Health Foundation, Giessen, Germany.
3 Department of Radiology, St. Louis University and St. Louis University Hospital, 3635 Vista Ave., St. Louis, MO 63110.
4 Department of Cardiology, University Hospital Giessen and Marburg, Giessen, Germany.
5 Department of Gastroenterology, St. Louis University, St. Louis, MO.

OBJECTIVE. The purpose of this article is to describe the spectrum of MRI and MR cholangiopancreatography (MRCP) findings of hepatic, pancreatic, and biliary manifestations in patients with HIV infection.

CONCLUSION. The spectrum of MRI and MRCP findings in HIV-infected patients includes acute or chronic hepatitis (or both), pancreatitis, cholangitis, acalculous cholecystitis, and biliary strictures that may resemble primary sclerosing cholangitis. The presence of segmental extrahepatic biliary strictures is characteristic of AIDS cholangiopathy.

Keywords: biliary tract • HIV • liver • MRI • pancreas


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