Presentation
Nonspecific abdominal pain and weight loss.
Patient Data
Age: 85 years
Gender: Male
From the case:
Inferior vena cava and right atrial tumor thrombus
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Large right liver mass with attenuation of the right hepatic vein and invasion of the inferior vena cava that extends cranially into the right atrium. The caval/atrial mass enhances between the phases. Inferiorly to this there is contrast mixing within the inferior vena cava.
Heterogeneous right adrenal mass. Rectal mural thickening and mesorectal fat stranding and fluid. Small volume of intraperitoneal free fluid.
Case Discussion
This is a case of presumed metastatic disease without a known primary. Due to the patient's advanced age and comorbidities, no further investigation was performed and the primary was not identified.
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