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Fig. 19A. —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 obtained 7 years after initial diagnosis shows new irregular narrowing of superior mesenteric artery (thick arrow) by tumor (thin arrows).





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