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Fig. 4A. 35-year-old woman with choledochal cyst and anomalous pancreaticobiliary ductal union. Anterior thick-section half-Fourier rapid acquisition with relaxation enhancement MR cholangiopancreatograms (TR/TE, infinite/1034; section thickness, 40 mm) obtained before (A) and after (B) IV administration of gadolinium chelate show that signal intensity of background structures is lower in B. Anomalous pancreaticobiliary ductal union (large arrow, B), which is obscured in A, is faintly but better depicted in B. Note main pancreatic duct (small arrows, B), abnormally long common channel (open curved arrow, B), and duct of Santorini (solid curved arrow, B).





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