59 year old with 6 months of abdominal pain and weight loss. CA 19-9 tumor marker measured 92,000. CEA tumor marker measured 205.

CT [top images]: Large heterogeneous mass with irregular borders involving the left hepatic lobe.

CT [bottom images]: Protrusion of the distal common bile duct (red arrow) into the duodenum, likely represent a Todani type III bile cyst / choledochocele.

This aggressive cancer was not survivable.