PMC4025158_01
CT of the abdomen revealed numerous hypoattenuated masses in different size with sharp border without any wall or content enhancement in the liver and a few cysts in the pancreatic head.
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F1
Computed tomography (CT) revealed numerous hypoattenuated masses in different size with sharp border without any wall or content enhancement in the liver and a few cysts in the pancreatic head (fig. 1, fig. 2, fig. 3).
CT of the abdomen revealed numerous hypoattenuated masses in different size with sharp border without any wall or content enhancement in the liver and a few cysts in the pancreatic head.
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F3
Computed tomography (CT) revealed numerous hypoattenuated masses in different size with sharp border without any wall or content enhancement in the liver and a few cysts in the pancreatic head (fig. 1, fig. 2, fig. 3).
MRCP of the abdomen showed intra- and extrabiliary duct dilation and also dilation of the pancreatic duct (double duct sign), a prominence at the head of the pancreas and liver cysts.
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F4
MRCP showed intra- and extrabiliary duct dilation and also dilation of the pancreatic duct (double duct sign), a prominence at the head of the pancreas and liver cysts (fig. 4, fig. 5).
Endoscopic retrograde cholangiopancreatography showed common bile duct dilation and plastic biliary stent insertion.
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F6
According to these findings, endoscopic retrograde cholangiopancreatography was performed and a plastic stent (5 cm, 5 F) was inserted into the pancreatic duct and another plastic stent (10 cm, 10 F) was placed in the common bile duct (fig. 6).
EUS and EUS/FNA of the pancreatic lesion. A specimen was obtained via FNA.
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F7
EUS of the pancreas was performed and a specimen was obtained via FNA and sent to pathology (fig. 7).