Diffuse large B-cell Lymphoma mimicking as cholangiocarcinoma in a young male presenting with obstructive jaundice

lesion with exophytic component in segment III and IV b of liver showing delayed enhancement measuring 6.9 x 5.4 cm and was indenting left branch of portal vein and in iltrating hepatic capsule and the suspicion was likely of cholangiocarcinoma with loco regional lymphadenopathy with intrahepatic ductal dilatation. So in order to decompress the biliary system, he irst underwent ERCP which revealed tight stricture at mid CBD level with proximal intrahepatic ductal dilatation and stenting was done. Then he underwent Endoscopic Ultrasound guided left lobe of liver Nodal mass biopsy which revealed lymphoproliferative disorder on the basis of morphological features and IHC pro ile. To further con irm it, he underwent liver lesion core needle biopsy which showed Diffuse Large B cell lymphoma. On PET scan it was further staged as Ann Arbor Stage I. He received 4 cycles of R-CHOP chemotherapy and currently LFTs are normal and Repeat CT scan post treatment con irmed no evidence of any residual disease and he was made stent free (Images 1,2).