Adenocarcinoma of cecum
Occult blood in stool. Colonoscopy revealed a polypoid mass in the caecum.
CT with iv. and oral contrast
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A polypoid mass is visible in the cecum with surrounding fat stranding and locally enlarged lymph nodes. A solitary pathologic lymph node is also visible asjacent to the interlobar fissure of the liver.
Additional findings: liver and kidney cysts, osteoporotic compression fracture of the T12 vertebra.
Typical presentation of invasive colorectal cancer that was confirmed as adenocarcinoma by histology. Use of oral contrast significantly improves diagnostic confidence and accuracy.