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Pancreatic ductal adenocarcinoma. Axial post-gadolinium fat-suppressed T1-weighted images obtained in the arterial phase (A) and interstitial phase (B) image, and coronal maximum intensity projection image of MRCP (C). There is a hypovascular tumor arising in the pancreatic head (arrow, A) that obstructs the common bile duct and pancreatic duct (double duct sign). This sign is well depicted in the MRCP images (C). MRCP: Magnetic resonance cholangiopancreatography.
