This patient is most likely suffering from primary sclerosing cholangitis which is commonly associated with ulcerative colitis. In PSC, the both the intra- and extra-hepatic bile ducts are affected causing strictures. In the cholangiogram this is noted by the alternating strictures and dilated portions of the ducts. In PSC (and UC) there is a often an increase in the p-ANCA antibody (option E). The only definitive treatment is liver transpla
this test i got 75% ..average was 69%..a little better.