Presentation
Diffuse abdominal pain.
Patient Data
A mesenteric hyperenhancing lesion is seen in the umbilical region with internal coarse calcifications with speculated margins, perifocal stranding of the surrounding fat planes and intense arterial enhancement and slight venous as well as delayed washout characteristics.
Multiple enhancing metastatic focal hepatic lesions displaying washout in the delayed scans.
Multiple mesenteric, pre-aortic, precaval and porta hepatis lymph nodes, the largest is seen at the porta hepatis region.
Mural enhancement noted within are of the small bowel loops related to the mesenteric lesion.
Free intraperitoneal fluid collection with associated mesenteric congestion.
The liver is of average size, with irregular borders, suggestive of pseudocirrhosis.
Manifestations of portal hypertension seen as moderate splenomegaly, dilated portosystemic collaterals seen at the lower esophageal, perisplenic and retroperitoneal regions as well as moderate ascites.
Case Discussion
Patient with mesenteric carcinoid and pathologically proved hepatic metastases. This is a follow-up study after a year of treatment (the previous study was not uploaded).
This is the same case (rID 52812), with a complete triphasic study.