1. An Uncommon Cause of Obstructive Jaundice: An Infrequent Neoplasm
Kathleen Tompkins, MD, Genevieve M. Crane, MD, PhD, Stefan L. Zimmerman, MD, Allan C. Gelber, MD 
The American Journal of Medicine 
Volume 130, Issue 2, Pages e43-e45 (February 2017)
DOI: /j.amjmed
Copyright © 2016 Elsevier Inc. Terms and Conditions

2. Figure 1
Coronal image from contrast-enhanced computed tomography examination of the abdomen obtained in the portal venous phase demonstrates a soft tissue mass in the hepatic hilum (arrows), located superior to the duodenum and pancreatic head, resulting in obstruction and dilation of the common bile duct (arrowhead).
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3. Figure 2
Axial computed tomography image demonstrates a rounded low-attenuation mass in the medial right hepatic lobe (arrow) adjacent to the hilar mass (asterisk) and several low-attenuation splenic lesions (arrowheads).
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4. Figure 3
Hematoxylin-eosin-stained section of cell block material from the patient's initial fine-needle aspiration procedure demonstrated large, atypical lymphoid cells with prominent nucleoli and scant to moderate cytoplasm with numerous apoptotic cells and necrotic debris, diagnostic of B-cell lymphoma.
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5. Figure 4
A subsequent core biopsy section of the hilar mass demonstrated the large atypical lymphoid cells were positive for Epstein-Barr virus. Additional immunohistochemical stains demonstrated the cells were positive for CD20, CD10, and BCL-6 (not shown).
The American Journal of Medicine  , e43-e45DOI: ( /j.amjmed )
Copyright © 2016 Elsevier Inc. Terms and Conditions