Multiple small nodules throughout both lungs, the largest 4mm.
Extensive lymphadenopathy at multiple mediastinal nodal stations, the largest 2.1cm in the AP window. Small left supraclavicular nodes.
Innumerable liver metastases.
Extensive para-aortic and portacaval lymphadenopathy upto 2.5cm.
The remainder of the solid organs are normal.
Short segment of apparent thickening of the proximal transervse colon just distal to the hepatic flexure.
No focal bone lesions.
Comment: Diffuse metastatic disease
The only potential primary may be colonic. Endoscopy recommended.
NB. Both the 1mm and 5mm CT Abdomen stacks after provided to demonstrate that the 'thinner' data may be of some value in identifying more sutble colonic pathology.