The gold standard for diagnosis of PSC is cholangiography. Diagnostic findings consist of segmental bile duct fibrosis with saccular dilatation of normal intervening areas, resulting in the characteristic “beads on a string” appearance. Magnetic resonance cholangiopancreatography (MRCP) has been increasingly used and has an overall diagnostic accuracy rate of 90%.
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ELBOMBARDO - (no access) - MKSAP_17.pdf, p2591
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