case_images: PMC11268002_01
case_images: Coronal plane MRCP image demonstrates a dilated common bile duct (arrow) with abrupt tapering of the distal most portion.
case_images: 10.1177_23247096241263536-fig1.jpg
case_images: PMC11268002_01_10.1177_23247096241263536-fig1.jpg
case_images: fig1-23247096241263536
case_images: Magnetic resonance cholangio pancreatography (MRCP) was obtained which showed CBD dilation to 14 mm with no evidence of choledocholithiasis (Figure 1).
case_images: Coronal plane image from a CT abdomen and pelvis with IV and oral contrast demonstrates a dilated common bile duct (arrow) and a large pancreatic head mass inferior to the distal duct.
case_images: 10.1177_23247096241263536-fig2.jpg
case_images: PMC11268002_01_10.1177_23247096241263536-fig2.jpg
case_images: fig2-23247096241263536
case_images: A computed tomography (CT) of the abdomen with pancreatic mass protocol obtained as a follow-up imaging showed the presence of a 4 cm pancreatic head mass obstructing the CBD with encasement of the portal vein confluence and superior mesenteric artery (Figures 2 and 3).
case_images: Axial plane image from a CT abdomen and pelvis with IV and oral contrast shows a large pancreatic head mass (arrow).
case_images: 10.1177_23247096241263536-fig3.jpg
case_images: PMC11268002_01_10.1177_23247096241263536-fig3.jpg
case_images: fig3-23247096241263536
case_images: A computed tomography (CT) of the abdomen with pancreatic mass protocol obtained as a follow-up imaging showed the presence of a 4 cm pancreatic head mass obstructing the CBD with encasement of the portal vein confluence and superior mesenteric artery (Figures 2 and 3).
case_images: Hypercellular atypical lymphoid cells:high power x40.
case_images: 10.1177_23247096241263536-fig4.jpg
case_images: PMC11268002_01_10.1177_23247096241263536-fig4.jpg
case_images: fig4-23247096241263536
case_images: Pathology revealed evidence of hypercellular, atypical lymphoid cells (Figure 4) which were CD-45 positive (Figure 5) on immunohistochemistry.
case_images: CD-45 positive on IHC:high power x40.
case_images: 10.1177_23247096241263536-fig5.jpg
case_images: PMC11268002_01_10.1177_23247096241263536-fig5.jpg
case_images: fig5-23247096241263536
case_images: Pathology revealed evidence of hypercellular, atypical lymphoid cells (Figure 4) which were CD-45 positive (Figure 5) on immunohistochemistry.