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. Author manuscript; available in PMC: 2019 Jul 1.
Published in final edited form as: Acad Radiol. 2018 Jan 17;25(7):825–832. doi: 10.1016/j.acra.2017.12.010

Figure 2.

Figure 2

Contrast CT of the abdomen, portal-venous phase. A, B: axial images; C: coronal reconstruction; D: Sagittal reconstruction. A pancreatic tumor is noted (white arrows in A, B, C, D) with peripancreatic fat infiltration, abuttment of portal vein at the spleno-mesenteric confluence (black arrow in C) and superior mesenteric vein encasement and narrowing (arrowhead in D). No significant artery involvement was described on outside report (T3, stage IIa). Second opinion report described the tumor encasement of the superior mesenteric artery (white arrowhead) changing thus the management of the patient (T4, stage III, unresectable).