case_images: PMC8068478_01
case_images: Axial (A) and coronal (B) CT scans of the abdomen showing abdominal ascites and dilated bowel loops due to obstruction from peritoneal carcinomatosis.
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case_images: CIS three months prior. Cross-sectional imaging revealed left hydronephrosis, abdominal ascites, bowel obstruction from peritoneal carcinomatosis (Figure 1A and B), and newly enlarged bilateral inguinal lymph nodes the largest measuring 2.6cm in size.
case_images: PET NaF showing focal abnormal uptake at (A) the left parietal-temporal skull and (B) the left 6th rib both suspicious for metastatic disease.
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case_images: PET/CT scan revealed lesions suspicious of metastatic spread involving the left parietal-temporal skull and 6th ribs (Figure 2A and B).
case_images: (A-F) Metastatic urothelial carcinoma to the (A) diaphragm (B) small bowel, (C) liver (H&E stain, original magnification 200x), (D) lung (original magnification 100x), (E) gallbladder (original magnification 40x), and (F) bone marrow (original magnification 200x).
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case_images: PMC8068478_01_RRU-13-181-g0003.jpg
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case_images: Autopsy revealed metastatic involvement of the diaphragm, small and large bowels, liver, lung, gall bladder, and bone marrow (Figure 3A-F).