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Fig. 1 | European Journal of Medical Research

Fig. 1

From: Comparison of preoperative evaluation of malignant low-level biliary obstruction using plain magnetic resonance and coronal liver acquisition with volume acceleration technique alone and in combination

Fig. 1

Pancreatic head carcinoma. Cholecystectomy was performed in a 68-year-old male patient with gallstones 9 years ago. a T2-weighted image (T2WI), high-intensity mass located in the pancreatic head; b fast imaging employing steady-state acquisition (FIESTA), the common bile duct (CBD) dilated and the distal segments of the bile duct were abruptly cut off; c magnetic resonance cholangiopancreatography (MRCP) showed dilation of the biliary tree and main pancreatic duct (PD). A congenital variability meant that the confluence of the hepatic duct and the cystic duct was at the distal bile duct. The distal segments of the bile duct and the pancreatic head segment of PD were abruptly cut off, forming the three-duct sign; d coronal enhanced liver acquisition with volume acceleration (LAVA) image, in the portal venous phase demonstrated a poorly enhanced mass (narrow arrow) around the distal common hepatic duct (CBD) and cystic duct; e photomicrograph (original magnification, ×400; hematoxylin–eosin stain)

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European Journal of Medical Research

ISSN: 2047-783X

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