Following cycle 18 with CAPOX-B, there was evidence of tumor progression in the CT scans on the basis of the Response Evaluation Criteria in Solid Tumors (RECIST) guideline version 1.1. Axial contrast-enhanced CT scans demonstrate enlarging heterogeneous hepatic tumors (arrows). The larger right hepatic tumor now measures 6.3 cm with an exophytic component. There is a large-volume abdominal ascites that has progressively increased in size, with gastrohepatic varices (circle).