marked circumferential mural thickening of one of the bowel loops in the midline lower abdomen (most probably distal ileal loops) with luminal aneurysmal dilatation. Unilateral wall thickness is 1 cm
multiple hypoattenuating nodal masses in the midline lower abdominal cavity. The conglomerate of these nodal masses measure approximately 9 x 8 cm
multiple hypoattenuating round lesions in both kidneys
bilateral adrenal glands are replaced by large solid lesion.
a solid hypoattenuating lesion in the right atrium measuring 2 cm is seen on partially visualised chest
small effusion/pleural thickening in the dependent portion of right hemithorax
retroperitoneal prespinal and posterior mediastinal enlarged lymph nodes
Liver, spleen, gallbladder, bones and pancreas are normal. No ascites.