PMC3914133_01
A thickened bladder wall (arrowhead) with stranding of the mesenteric fat, status post-JJ stents. Despite the collapsed bladder, the wall thickening is clearly visible.
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fig1
A CT showed a thickened bladder wall with infiltration of the adjacent fat, bilateral hydronephrosis and hydroureters, hepatomegaly, and trace perihepatic ascites (Figure 1). 
Images from our institution showing a thickened bladder wall (arrowhead on the right) and right-sided nephrosis (arrowhead on the left).
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fig2
A follow-up CT scan showed thickening of the gastric antrum and proximal duodenum, a mesenteric haze adjacent to the head of the pancreas, dilatation of the CBD, moderate right-sided hydronephrosis, and bilateral ureteral stents (Figures 2(a) and 2(b)).
Fibroadipose tissue with infiltrating poorly differentiated adenocarcinoma with signet-ring cell features (arrow), compatible with metastatic adenocarcinoma from known gastric adenocarcinoma.
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fig3
A pathology slide from the abdominal wall is shown in Figure 3.