case_images: PMC10880429_01
case_images: Thoraco-abdominal-pelvic CT performed in 2018 showing moderate ascites with mesenteric densification. CT: computed tomography
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case_images: FIG1
case_images: A heterogeneous echogenic pattern of the liver on abdominal ultrasound was conducted, followed by an abdominal, pelvic, and thoracic CT, which revealed hepatic steatosis, enlargement of the prostate, and moderate ascites with mesenteric densification (Figure 1).
case_images: Repeat MRI performed in 2019 showing a thickness in the anterior left abdominal wall. MRI: magnetic resonance imaging
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case_images: PMC10880429_01_cureus-0016-00000052716-i02.jpg
case_images: FIG2
case_images: At three months, the abdominal and pelvic MRI demonstrated low/medium ascitic fluid in the subphrenic space and paracolic gut, and an area of thickness in the anterior left abdominal wall, involving the left rectus abdominis and obliques muscles, with an extension of 10.5 cm and a maximum thickness of 2.2 cm (Figure 2).
case_images: MRI scan after six cycles of chemotherapy showing left lesion in the muscles and a new lesion in the right rectus abdominis muscle (performed in 2019). MRI: magnetic resonance imaging
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case_images: FIG3
case_images: CT scan was repeated, which showed maintenance of the right pleural effusion, loculated. Comparatively with the anterior MRI, the patient maintained the left lesion in the muscles with the same dimension and a new lesion in the right rectus abdominis muscle with a maximum thickness of 1.8 cm with an extension of 6 cm (Figure 3), indicative of disease progression.
case_images: MRI and PET-CT scans performed in 2023 show no evidence of disease. MRI: magnetic resonance imaging; PET-CT: positron emission tomography-computed tomography
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case_images: PMC10880429_01_cureus-0016-00000052716-i04.jpg
case_images: FIG4
case_images: The patient maintained a complete response, as documented on MRI and PET-CT scans performed in 2022 and 2023 (Figure 4).