case_images: PMC7543161_01
case_images: Single shot fast spin echo magnetic resonance image shows intrahepatic and extrahepatic bile duct dilatation (white arrows) with abrupt narrowing at the head of the pancreas (white arrowhead), compatible with biliary obstruction.
case_images: 10.1177_2324709620947275-fig1.jpg
case_images: PMC7543161_01_10.1177_2324709620947275-fig1.jpg
case_images: fig1-2324709620947275
case_images: Magnetic resonance cholangiopancreatography showed intrahepatic and extrahepatic bile duct dilatation with abrupt tapering of the common bile duct at the head of the pancreas, which was concerning for extrinsic compression as well as lesions consistent with hepatic metastases (see Figures 1 and 2).
case_images: Axial T2 HASTE with fat saturation magnetic resonance image shows multiple intrahepatic T2 hyperintense lesions (white arrows), compatible with hepatic metastatic disease. Multiple dilated intrahepatic bile ducts (white arrowheads) noted as well.
case_images: 10.1177_2324709620947275-fig2.jpg
case_images: PMC7543161_01_10.1177_2324709620947275-fig2.jpg
case_images: fig2-2324709620947275
case_images: Magnetic resonance cholangiopancreatography showed intrahepatic and extrahepatic bile duct dilatation with abrupt tapering of the common bile duct at the head of the pancreas, which was concerning for extrinsic compression as well as lesions consistent with hepatic metastases (see Figures 1 and 2).