Case Report

AIDS Cholangiopathy in an Asymptomatic, Previously Undiagnosed Late-Stage HIV-Positive Patient from Kenya

Table 2

Imaging features of AIDS cholangiopathy versus primary sclerosing cholangitis.

AIDS cholangiopathyPrimary sclerosing cholangitis

Dilation common bile ductCommonRare
Intrahepatic ductsAffected but usually normal in numberSignificantly decreased in number
Intraductal debrisCommonRare
Intraductal filling defectsYesNone
String-like stricturesRareCommon
Diverticular outpouchings and sacculationsRareCommon
Papillary stenosis + intrahepatic ductal strictureCommonNever reported
Extrahepatic stricture morphologyIrregular margins and nodules reflecting an often focal natureIrregular strictures with entire ducts involved
Gallbladder wall thickeningCommonRare