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Egyptian Journal of Radiology and Nuclear Medicine
Fig. 4 | Egyptian Journal of Radiology and Nuclear Medicine

Fig. 4

From: The role of combined diffusion weighted imaging and magnetic resonance cholangiopancreatography in the differential diagnosis of obstructive biliary disorders

Fig. 4

A 65-year-old patient diagnosed with pancreatic head adenocarcinomas. a 3D T2 coronal thick slab MRCP image showing double duct sign and distal intra pancreatic segments CBD stricture showing irregular asymmetrical border with abrupt narrowing (thick arrow), biliary stent is noted crossing the stricture (thin arrow). b Coronal T2 HASTE image at the level of the stricture showing iso-intense signal (arrow). c, d DWI and ADC map at the same level showing hyperintense signal on DWI with corresponding hypo-intensity on the ADC map (restricted diffusion) (arrows). e, f DWI and ADP map at lower level showing restricted retroperitoneal lymph node that was undetected on the T2 images (arrows)

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