case_images: PMC5654332_01
case_images: Contrast enhanced CT, axial view, upper chest. (a) Completed October 2016 with benign findings. (b) Completed November 2016 with moderate size bilateral pleural effusions. (c) Completed June 2017 with benign findings.
case_images: CRIONM2017-4789706.001.jpg
case_images: PMC5654332_01_CRIONM2017-4789706.001.jpg
case_images: fig1
case_images: On repeat imaging during admission, computed tomography (CT) of the chest, abdomen, and pelvis was significant for extensive thickening, nodularity, and enhancement of the peritoneum and omentum, read as consistent with carcinomatosis (Figures 1-3).
case_images: Contrast enhanced CT, axial view, upper abdomen. (a) Completed October 2016 with benign findings. (b) Completed November 2016 with multiple bilobar low attenuation indeterminate hepatic lesions. (c) Completed June 2017 with benign findings.
case_images: CRIONM2017-4789706.002.jpg
case_images: PMC5654332_01_CRIONM2017-4789706.002.jpg
case_images: fig2
case_images: On repeat imaging during admission, computed tomography (CT) of the chest, abdomen, and pelvis was significant for extensive thickening, nodularity, and enhancement of the peritoneum and omentum, read as consistent with carcinomatosis (Figures 1-3).
case_images: Contrast enhanced CT, axial view, mid abdomen. (a) Completed October 2016 with benign findings. (b) Completed November 2016 with extensive thickening, nodularity, and enhancement of the peritoneum and omentum. (c) Completed June 2017 with benign findings.
case_images: CRIONM2017-4789706.003.jpg
case_images: PMC5654332_01_CRIONM2017-4789706.003.jpg
case_images: fig3
case_images: On repeat imaging during admission, computed tomography (CT) of the chest, abdomen, and pelvis was significant for extensive thickening, nodularity, and enhancement of the peritoneum and omentum, read as consistent with carcinomatosis (Figures 1-3).
case_images: PET/CT imaging of the body performed in June 2017. (a) Coronal Body. (b) Axial upper abdomen. (c) Axial mid abdomen. (d) Axial low abdomen. Findings of diffuse and permeative abnormal hypermetabolic activity throughout the cavity corresponding to thickening and caking of the omentum and small pelvic free fluid. Hypermetabolic activity corresponding to multiple low attenuating liver lesions and retrosternal iliac chain nodes suspicious for malignancy.
case_images: CRIONM2017-4789706.004.jpg
case_images: PMC5654332_01_CRIONM2017-4789706.004.jpg
case_images: fig4
case_images: PET/CT was significant for hypermetabolic activity throughout peritoneal cavity with omental caking (Figures 4-5).
case_images: PET/CT imaging of the body performed in November 2016. (a) Coronal Body. (b) Axial upper abdomen. (c) Axial mid abdomen. (d) Axial low abdomen. Substantial resolution of patient's peritoneal involvement of malignancy and other changes suggesting malignancy noted. Previously noted liver lesions resolved.
case_images: CRIONM2017-4789706.005.jpg
case_images: PMC5654332_01_CRIONM2017-4789706.005.jpg
case_images: fig5
case_images: PET/CT was significant for hypermetabolic activity throughout peritoneal cavity with omental caking (Figures 4-5).