Somatostatinoma Presented as Double-Duct Sign

Figure 1

MRI abdomen with and without contrast: (a) T2 image and (b) MRCP image reveal moderate to severe intrahepatic biliary ductal dilation. The common duct measures 1.5 cm in greatest diameter “red arrow”. The pancreatic duct is also dilated measuring up to 0.6 cm at the head “yellow arrow”. No intraluminal filling defect. (c) T1 image with contrast reveals mild distal common bile duct wall enhancement “blue arrow”.

(a)

(b)

(c)