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Fig. 3B. —54-year-old man with primary sclerosing cholangitis. MR cholangiopancreatogram shows multifocal strictures and irregularities (arrows) of extrahepatic bile duct that are compatible with sclerosing cholangitis. However, extrahepatic bile duct is more visible on endoscopic retrograde cholangiogram (A) because strictures of intrahepatic and extrahepatic bile ducts have resulted in decreased volume of bile. Diffuse strictures of left central and peripheral intrahepatic bile ducts (arrowheads), which could not be opacified on ERCP, can be seen. Right intrahepatic bile ducts could not be visualized because of diffuse disease.

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