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38): Tree in winter appearance: diffuse narrowing or even disappearance (vanishing) of small ducts Signsofcirrhosis(tortuosity,narrow- ing, caliber variation, segmental changes) Differentialdiagnosiswithprimaryscle- rosing cholangitis Bileductdeformitieslesscommon Diseaseinitiallymorelimitedtosmall ducts Noextrahepaticdisease Nodiverticularoutpouchings References Blachar A, Federle MP, Brancatelli G (2001) Primary biliary cirrhosis: clinical, pathologic, and helical CT findings in 53 patients.

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