PMC10139807_01
Abdominal imaging upon admission. (a) CT abdomen/pelvis with contrast reveals nodularity in the omentum tracking into the left paracolic gutter (red arrows). MRI abdomen/pelvis with and without contrast shows hyperintense regions on (b) axial T2 weighted sequences and (c) axial diffuse weighted imaging sequences, consistent with areas of inflammation and nodularity (red arrows) with impression including possibility of peritoneal carcinomatosis or infectious process.
CRIN2023-4240423.001.jpg
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fig1
Computed tomography of the abdomen and pelvis demonstrated anasarca, large volume abdominopelvic ascites with peritoneal thickening, and nodularity throughout the omentum (Figure 1(a)). MRI abdomen/pelvis with contrast showed enhancing soft tissue thickening throughout the greater omentum (Figures 1(b) and 1(c)) and in their impression suggested the possibility of malignancy with peritoneal carcinomatosis with recommendation for tissue sampling.