Carcinoma colon - hepatic flexure
Anaemia, abdominal pain.
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There is a non obstructing mass lesion in the hepatic flexure of the colon with adjacent pericolic lymph nodes and a large lymph node is seen anterior to the superior mesenteric vein. No distinct cleavage plane is seen between the lymph node and the SMV.
CT is an excellent modality for evaluating colonic masses and asess associated lymph node status and liver metastases. This patient had a colonoscopy which revealed a mass and the biospy revealed adenocarcinoma colon.