I am a 25 yr old male with crohn's disease. I apparently have had high ALP levels (130-150) for the past 3 years. They do not appear to be increasing. I had an MRCP done and i was told it indicated some inflation by my gastro doctor. I had an ERCP completed and the doctors performing the procedure said that based on the MRCP and ERCP they cannot come to a conclusion. They did note some area of inflamation in my bile duct but cannot at this point call is PSC. They said it MAY be early indications of psc but if i didn't have crohn's a PSC potential wouldn't be on the radar. I have had crohn's for 12 years and have had some arthiritic symptoms and have had a fistulae that was treated with cipro for year and has since been not treated for the past 2-3 years. I have no symptoms or pain. I am wondering what this could be if it is not PSC. COuld it be related to the fistulae or be a random swelling for no reason or what. Any info would be helpful.