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Case of the Week 597




What is the most likely diagnosis?

  • 51 year-old with change in bowel habits



Contrast-enhanced CT of Abdomen

  1. Cirrhosis
  2. Fatty infiltration
  3. Cysts
  4. Metastases
  5. Caroli's Disease

Additional Image - Another Contrast-enhanced CT of Abdomen

 

Additional Images

 

Contrast-enhanced CT of Abdomen

 


Answer:

.


4. Metastases

.

.

More (Click Discussion Tab)


 

Liver Metastases

 

General Considerations

  • In this country, a focal liver lesion is less likely to represent a primary malignancy than a metastasis
  • Metastasis is the most common neoplasm in an adult liver
    • Only lymph nodes harbor more metastatic deposits than the liver
  • The liver is a principle target for gastrointestinal malignancies
  • The most common primary sites for metastatic lesions to the liver in adults are:
    • Colon
    • Stomach
    • Pancreas
    • Breast
    • Lung

MORE . . .


.

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