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Fig. 4B —58-year-old man with pancreatic cancer. Noncircumferential distal superior mesenteric vein involvement is potentially resectable with vein reconstruction. Coronal CT reformation images show invasion of proximal portal vein (straight arrow, A) by tumor in superior head of pancreas (arrowhead, A). Superior mesenteric vein was not involved at level of its most distal jejunal tributary (arrow, B). Hepatic artery (arrowhead, B), superior mesenteric artery (dashed arrow, A), and splenic vein (curved arrow, A) were clear of tumor. Whipple procedure with portal vein reconstruction was performed.