A CT scan of the abdomen of the patient is shown. There is a mass in the root of the mesentery of approximately 9.5 × 8 cm, with a necrotic center, of dubious organ dependence. The lesion contacts the lesser curvature of the stomach, right hepatic lobe, and adjacent jejunal loops without a fatty separation plane. Countless hepatic lesions are suggestive of secondary deposit. Multiple nodular peritoneal soft tissue lesions compatible with carcinomatosis. Intraperitoneal free fluid of perihepatic, perisplenic distribution and in both flanks.