PMC3959392_01
Primary ampullary tumor is noted with increased uptake (SUV max 4.1)
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F1
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).
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)
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F2
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).
Endoscopic ultrasound showing a small ampullary tumor (arrow) with dilated common bile duct and pancreatic duct
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F3
Endoscopic ultrasound (EUS) showed a small hypoechoic lesion in the ampullary region with dilated common bile duct and IHBR (Fig. 3).
Large subcarinal lymph node
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F4
Endoscopic ultrasound-guided fine needle aspiration cytology being performed from the subcarinal lymph node. Large hyperechoic foci noted (arrow)
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F5
Carolina, USA) was performed (Fig. 5). Cytological examination of the aspirate showed granulomatous inflammation consistent with tuberculosis.