Primary sclerosing cholangitis and painless pancreatitis
MODY-type diabetes. Elevated liver and pancreatic enzymes. No history of abdominal pain.
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Segmental dilatation of bile ducts in the right liver lobe (mainly segment VIII). Interestingly, there is also periportal hyperperfusion in the early arterial phase after contrast. Necrotic pancreatitis of the tail with 2 pseudocysts and old splenic vein thrombosis. Collateral circulation via the gastric veins.
This combination of findings may suggest autoimmune disease.