Presentation
Painless jaundice and weight loss.
Patient Data
Age: 75 years
Gender: Male
From the case:
Mucinous cystadenocarcinoma of panceas
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Coronal T2 fat sat

Gross dilatation of the biliary tree and pancreatic duct ("double duct sign") with fluid mass in the pancreatic head. No metastases to lymph nodes or liver.
Case Discussion
Typical mucinous tumor with large cystic mass in the head (may be in the body or tail) and minimal solid component causing bile duct and pancreatic duct obstruction.