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Fig. 2 | Insights into Imaging

Fig. 2

From: Multi-modality organ-based approach to expected imaging findings, complications and recurrent tumour in the genitourinary tract after radiotherapy

Fig. 2

A 49-year-old woman who underwent pylorus sparing Whipple’s procedure and RT (5,940 cGy) for ampullary cholangiocarcinoma demonstrates typical findings of chronic radiation nephropathy on 3-year follow-up imaging. Axial (a) and coronal (b) contrast-enhanced CT (CECT) images demonstrate focal atrophy of the medial upper poles of both kidneys with a smooth contour (open white arrows). Note regional osteopenia in L1-L3 in (b) and post-operative pneumobilia in the bile duct (solid white arrow in a) indicating patent choledochojejunostomy (not shown)

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