Figure 2.
(a–d) Imaging studies from an external institution (December 5, 2024). (a) Contrast-enhanced chest CT demonstrates pericardial effusion. (b–d) Magnetic resonance imaging (MRI), (b) Coronal T2-weighted imaging (T2WI) clearly demonstrates tapered stenosis at the distal common bile duct and pancreatic duct orifice (marked by black arrows). (c) Axial fat-suppressed contrast-enhanced T1-weighted imaging (T1WI) shows intrahepatic biliary dilatation in the left hepatic lobe. (d) Axial fat-suppressed T2WI demonstrates left hepatic lobe intrahepatic biliary dilatation and ascites.
