Pronounced, irregular cecal wall thickening, most probably carcinoma. No abdominal or chest lymphadenopathy and no hepatic metastases.
Small-to-moderate amount of right pleural effusion, with accompanying passive atelectasis. Large amount of left pleural fluid, with collapsed left lower lobe (LLL) and lingular atelectasis.
Many medullary-based bone lesions: bilateral expansile rib lesions, including a large one in the anterior arch of second right rib; expansile left clavicular lesion; in left scapula; several bilateral in the pelvic bones; in the left femur at the level of the lesser trochanter.
Thick endplate sclerosis in both endplates of every vertebra in the scan - rugger jersey spine.
The spleen enhances heterogeneously - early portal scan, probably due to cardiac failure.
Small bilateral inguinal hernia: right with small amount of fluid and loop of ileum bulging into its opening; left with fluid and colonic loop - junction of descending colon-sigmoid colon, no sign of incarceration.