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Enhanced CT scan images of the abdomen: axial (a, b); coronal (c); and sagittal (d). Shows multiple enhancing well-defined lesions. There are at least 2 duodenal lesions: one peri-ampullary (white arrow, in b, c) and one endo-luminal (arrow head in a). Also, it shows multiple pancreaticoduodenal groove lesions (* in b, c, d). Biliary stent in place (thick white arrow in d). D: duodenum, P: pancreatic head, V: portal vein.
