Presentation
Abdominal pain and chronic constipation.
Patient Data
A few small calcified nodules less than 3 mm scattered at both lung fields.
Increased wall thickness due to tumoral infiltration is present at cecum and proximal of ascending colon accompanied by pericolic fat stranding and several regional lymphadenopathies with maximum SAD of 18 mm.
The hepatic attenuation value is less than of the spleen, suggesting fatty liver. A few hypo-attenuating lesions are seen at liver which shows early peripheral nodular enhancement with centripetal filling.
Several stones are seen at gallbladder less than 15 mm.
Several non-enhanced simple cortical cysts are seen at both kidneys, with maximum diameters of 38 mm.
The prostate gland is enlarged.
Degenerative changes as osteophytosis are seen at the thoracolumbar spine.
Case Discussion
Colon mass (pathology proven adenocarcinoma) with regional lymphadenopathies.
Enhancement pattern of hepatic masses are most compatible with Hemangioma.
Colorectal cancers can be found anywhere from the cecum to the rectum. The cecum and ascending colon are involved in approxmiately 20% of cases.
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