Fig. 1

Abdominal computed tomography. Images of the liver showed numerous hypodense nodules with mild contrast enhancement, ascites and intrahepatic bile duct dilatation (a). There were multiple enlarged lymph nodes in the hepatoduodenal ligament around the abdominal aorta (b). Mesenteric lymph nodes with bilateral pleural effusion (c). Multiple nodular dense shadows with dilatation of the main pancreatic duct in the tail region (d)