Recent CT with pancreatic head mass consistent with carcinoma. An element of outlet obstruction and surgical delineation indication for study.
Unfortunately the CT is not available.
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Indentation and displacement of the 2nd part of the dudoneum by a mass, typically at this site a mass in the head of pancreas.
The mass is eroding the mucosa of the 2nd part of duodenum just proximal to the D2-D3 junction.
Fluroscopy is decreasingly used in contemporary imaging. This case illustrates some sound principles from fluoroscopic work:
- the displacement of normal anatomical positions of structures
- the appearances of external compression and mucosal erosion
- the skill involves not just interpretation, but the acquisition of images, to get the best diagnosis