Fig. 5
From: Validity of MDCT cholangiography in differentiating benign and malignant biliary obstruction
Metastatic gastric outlet carcinoma. Malignant obstructive jaundice caused by gastric outlet carcinoma (pathologically proved) exerting mild intra-hepatic biliary radical dilatation. Female patient, 69 years old, presented with progressive jaundice, abdominal swellings, vomiting, and cachexia. a Axial post-oral contrast image shows minimal intrahepatic biliary radicle dilatation; also, an anterior abdominal wall solid mass lesion is noted. b Axial post-oral contrast image shows diffuse irregular gastric outlet abnormal wall thickening forming gastric outlet focal mass seen encroaching upon contrast filled lumen and exerting proximal gastric dilatation. c, d Coronal reformatted MDCT cholangiography images showing obliterated related fat planes with inferior surface of the left liver lobe with compression of the hepatic hilum