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Fig. 19B. —77-year-old woman with history of T4 N0 M0 pancreatic ductal adenocarcinoma that has been treated with chemotherapy and radiation therapy. Surveillance imaging obtained during a 6-year period revealed stable residual disease involving superior mesenteric artery. Contrast-enhanced axial CT image acquired at level superior relative to A shows new fistula (medium-length arrows) between stomach (thick arrow) and recurrent tumor (small arrow).