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Surgical Case Reports
Fig. 3 | Surgical Case Reports

Fig. 3

From: Intracholecystic papillary neoplasm associated with invasive carcinoma of the remnant gallbladder after subtotal cholecystectomy: a case report

Fig. 3

Findings of additional imaging studies. a T1-weighted magnetic resonance imaging (MRI). A 10-mm enhanced nodule is visible (arrow) without evidence of extramural invasion. b T2-weighted MRI. The lesion is detected as a filling defect (arrow). c Diffusion-weighted MRI. Restricted diffusion of the lesion is observed (arrow). d 18-fluoro-2-deoxy-glucose positron emission tomography/computed tomography (FDG-PET/CT). FDG accumulation (maximum standardized uptake value: 6.90) in the remnant gallbladder lesion is observed (arrow). e Endoscopic retrograde cholangiopancreatography. The cystic duct, which diverged from the left side of the middle bile duct, was confirmed. Findings suspicious for invasion to the bile duct and pancreatobiliary maljunction are not observed. Contrast medium did not flow into the remnant gallbladder via the cystic duct (arrow). The length of the intact cystic duct was approximately 15 mm. According to the cholangiography findings, extrahepatic bile duct resection was planned to be omitted

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