case_images: PMC3959392_01
case_images: Primary ampullary tumor is noted with increased uptake (SUV max 4.1)
case_images: AnnGastroenterol-25-167-g001.jpg
case_images: PMC3959392_01_AnnGastroenterol-25-167-g001.jpg
case_images: F1
case_images: It showed increased [18F]-Fluoro-Deoxy-Glucose (FDG) tracer uptake in the periampullary region (SUV max 4.1) (Fig. 1) as well as in the enlarged subcarinal nodes (SUV max 14.7) (Fig. 2).
case_images: Positron emission tomography-computerized tomography scan images of the patient showing enlarged hypodense subcarinal lymph nodes with a positive tracer uptake (SUV max 14.7)
case_images: AnnGastroenterol-25-167-g002.jpg
case_images: PMC3959392_01_AnnGastroenterol-25-167-g002.jpg
case_images: F2
case_images: It showed increased [18F]-Fluoro-Deoxy-Glucose (FDG) tracer uptake in the periampullary region (SUV max 4.1) (Fig. 1) as well as in the enlarged subcarinal nodes (SUV max 14.7) (Fig. 2).
case_images: Endoscopic ultrasound showing a small ampullary tumor (arrow) with dilated common bile duct and pancreatic duct
case_images: AnnGastroenterol-25-167-g003.jpg
case_images: PMC3959392_01_AnnGastroenterol-25-167-g003.jpg
case_images: F3
case_images: Endoscopic ultrasound (EUS) showed a small hypoechoic lesion in the ampullary region with dilated common bile duct and IHBR (Fig. 3).
case_images: Large subcarinal lymph node
case_images: AnnGastroenterol-25-167-g004.jpg
case_images: PMC3959392_01_AnnGastroenterol-25-167-g004.jpg
case_images: F4
case_images: Endoscopic ultrasound-guided fine needle aspiration cytology being performed from the subcarinal lymph node. Large hyperechoic foci noted (arrow)
case_images: AnnGastroenterol-25-167-g005.jpg
case_images: PMC3959392_01_AnnGastroenterol-25-167-g005.jpg
case_images: F5
case_images: Carolina, USA) was performed (Fig. 5). Cytological examination of the aspirate showed granulomatous inflammation consistent with tuberculosis.