Fig. 1

The magnetic resonance imaging shows multiple splenic lesions (a) and reduction of caliber of the proximal extrahepatic bile duct with ectasia of bile duct downstream (b) at disease onset. One month later, a new total body computerized tomography describes a dense tissue (diameter of 3 cm) with irregular margins infiltrating the upper lobe of the left lung, associated with ipsilateral hilar-mediastinal lymphadenopathy (c)