case_images: PMC11798579_01
case_images: Abdominal ultrasound shows mild fatty liver, minimal gallbladder sludge without cholecystitis, normal common bile duct and portal vein, and no spleen abnormalities or free fluid.
case_images: cureus-0017-00000077023-i01.jpg
case_images: PMC11798579_01_cureus-0017-00000077023-i01.jpg
case_images: FIG1
case_images: The spleen was of normal size and echogenicity without focal lesions, and no free fluid was detected (Figure 1).
case_images: Magnetic resonance cholangiopancreatography shows slight irregularity in the left biliary duct wall without dominant stricture or intrahepatic duct dilatation. The common bile duct is normal in diameter, with unremarkable liver and gallbladder findings.
case_images: cureus-0017-00000077023-i02.jpg
case_images: PMC11798579_01_cureus-0017-00000077023-i02.jpg
case_images: FIG2
case_images: The CBD diameter was within normal limits, and the liver and gallbladder appeared normal (Figure 2).
case_images: The liver biopsy revealed chronic hepatitis characterized by a dense portal lymphoplasmacytic infiltrate, scattered eosinophils, moderate interface hepatitis, and mild lobular necroinflammation.
case_images: cureus-0017-00000077023-i03.jpg
case_images: PMC11798579_01_cureus-0017-00000077023-i03.jpg
case_images: FIG3
case_images: A liver biopsy confirmed chronic hepatitis, featuring a dense portal lymphoplasmacytic infiltrate, scattered eosinophils, moderate interface hepatitis, and mild lobular necroinflammation (Figure 3), findings consistent with AIH-PBC overlap syndrome.