Dr. Broughman, Dr. Sittenfeld, and Dr. Bauer-Nilsen are radiation oncology residents, and Dr. Stephans is an attending radiation oncologist, Department of Radiation Oncology, Cleveland Clinic. Disclosure: The authors have no conflicts of interest to disclose. None of the authors received outside funding for the production of this original manuscript and no part of this article has been previously published elsewhere.
CASE SUMMARY This is a 56-year-old man with history of primary sclerosing cholangitis (PSC) who was…