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Axial abdominal CT-scan showing dilatation of the pancreas and duct cut-off sign (red arrow).
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A subtle pancreatic duct cut-off sign was noted on abdominal CT, suggestive of a pancreatic mass (Figure 1).
Endoscopic ultrasound (EUS) fine needle biopsy of pancreas revealed adenocarcinoma with mucinous features.
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Subsequent MRI and endoscopic ultrasound-guided fine needle biopsy confirmed a ductal adenocarcinoma of the body of the pancreas (Figure 2).