case_images: PMC5733896_01
case_images: T2 axial CT: 10 mm dilated common bile duct with distended gallbladder and 3.5 mm dilated pancreatic duct.
case_images: CRIGM2017-1620392.001.jpg
case_images: PMC5733896_01_CRIGM2017-1620392.001.jpg
case_images: fig1
case_images: A normal CBD measures 4.1 mm in diameter and a normal pancreatic duct measures 3.0 mm in diameter, with the patient's CBD measuring 10 mm and pancreatic duct measuring 3.5 mm (Figure 1).
case_images: H&E stain of granulomatous lymph node at low and intermediate power.
case_images: CRIGM2017-1620392.002.jpg
case_images: PMC5733896_01_CRIGM2017-1620392.002.jpg
case_images: fig2
case_images: Lymph nodes showed reactive follicular hyperplasia, sinus histiocytosis, and scattered nonnecrotizing granulomas (Figure 2).
case_images: H&E stain of pancreatic mass at intermediate and high power.
case_images: CRIGM2017-1620392.003.jpg
case_images: PMC5733896_01_CRIGM2017-1620392.003.jpg
case_images: fig3
case_images: GMS stains but showed nonnecrotizing granulomas compatible with patient's history of sarcoidosis (Figure 3). Gallbladder and segment of duodenum were negative for any significant pathologic change.