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A 48 year old lady presents with painless obstructive jaundice and weight loss. A CT pancreas confirms a hypoechoic lesion in the head of the pancreas with a 7mm pancreatic duct in the pancreatic neck and an 11mm CBD. The patient is clinically well with no comorbidities but has a bilirubin of 142. What would be the next most appropriate course of action?

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