| Summary points: | A 40-year-old presents with a 1-month history of diffuse pruritus that failed to resolve with antihistamines, right upper-quadrant abdominal pain, and jaundice. This case report details the findings from magnetic resonance imaging, cholangiopancreatography, computed tomography, surgical pathology, follow-up imaging, and outcome, and includes various images. The authors discuss differences between imaging changes associated with radiotherapy techniques and malignancy recurrence. |