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Computed Tomography scan of the abdomen demonstrating dilated common bile duct and pancreatic duct.
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Endoscopic finding of sub-epithelial ampullary mass.
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Endoscopic Ultrasound (EUS) revealed a 14 mm hypoechoic sub-epithelial ampullary mass (Fig. 2), but fine needle aspiration (FNA) was non-diagnostic.
Arterial phase Computed Tomography of the pancreas showing a hyper-enhancing lesion.
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On dedicated CT pancreatic imaging, the mass was hyper-enhancing in the arterial phase (Fig. 3), and remained so in the portal venous phase (Fig. 4).
a) Ultrasonography of right breast lesion at 2 o'clock position, b) Ultrasonography of right breast lesion at 7 o'clock position, c) Ultrasonography of right breast lesion at 12 o'clock position, d) Ultrasonography of left axillary lymph node.
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Concomitantly, four lesions were seen on breast ultrasonography - three right breast nodules up to 12 mm in size at 2, 7 and 12 o'clock and a 5 mm left axillary node (Fig. 5).