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Case 17.20 

Case 17.20
Chapter:
Case 17.20
Author(s):

Christine U. Lee

, and James F. Glockner

DOI:
10.1093/med/9780199915705.003.0438
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date: 17 October 2019

72-year-old man with cholangiocarcinoma in the distal common bile duct

VR image from 3D FRFSE MRCP (Figure 17.20.1) demonstrates moderately dilated intrahepatic ducts in the central right hepatic lobe, poorly visualized ducts in the medial left lobe, and dilated ducts in the lateral left lobe. There is an abrupt cutoff of the common bile duct near the pancreatic head, with a stent extending into the duodenum, and an apparent filling defect proximal to the obstruction. Notice also the dilated pancreatic duct. Axial fat-suppressed 3D SSFP images (...

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