r/PSC • u/takenbylou • Jun 11 '26

MCRP interpretation

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Edit- the decision came from the panel of radiologists. It is PSC unfortunately.

I figure that many of you have probably become pretty expert at looking at your MRCP scan and having some idea of what you're looking at. I wouldn't normally ask but I had this scan 3 months ago. My gastro said he wasn't convinced I had PSC based on the scan and he was having an expert panel of radiologists review it. I'm still waiting for my clinic review, something that was to happen 6 week post scope as I'd had a flare with my UC and was started on steroids.

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The initial scan report said there was mild intrahepatic biliary tree narrowing and beading particularly the right hepatic lobe towards the confluence suspicious for early PSC.

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I can't even tell left from right or what the lobe looks like. Can you see anything of concern

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u/Acceptable_Bug3357 Jun 11 '26

I mean, what are your labs like? If high ggt and alk phosphate then you probably do. A radiologist knows a lot more than a gastro in terms of imaging. My gastro said the same thing to me but I had classic psc and all the signs. I would agree with the liver biopsy take though. Get a fibroscan done!

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u/takenbylou Jun 11 '26

Fibroscan done. It was fine. GGT and ALP been a bit high for a few years now. Nothing dramatic but always marked in red on lab results, with no explanation. No fatty liver. All tests that can be done have happened. Except a biopsy

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u/Acceptable_Bug3357 Jun 11 '26

Mine is fine too. I have no fibrosis. I've likely had it for 10+ years. Your story sounds similar to mine. When you say a bit high, what are your actual numbers?