Presentation
Abdominal CT was requested for pain in the right flank, known hemiplegia with severe hip dysplasia.
Patient Data
Age: 50 years
Gender: Male
From the case:
What's happening here? (Rorschach radiology)
Axial C+ portal venous phase

Apart from the bilateral hip dysplasia with severe secondary degenerative osteoarthritis, a question mark is found in the rectum giving us a hint where to look for pathology....
Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.