PMC5654332_01
Contrast enhanced CT, axial view, upper chest. (a) Completed October 2016 with benign findings. (b) Completed November 2016 with moderate size bilateral pleural effusions. (c) Completed June 2017 with benign findings.
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fig1
On repeat imaging during admission, computed tomography (CT) of the chest, abdomen, and pelvis was significant for extensive thickening, nodularity, and enhancement of the peritoneum and omentum, read as consistent with carcinomatosis (Figures 1-3).
Contrast enhanced CT, axial view, upper abdomen. (a) Completed October 2016 with benign findings. (b) Completed November 2016 with multiple bilobar low attenuation indeterminate hepatic lesions. (c) Completed June 2017 with benign findings.
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fig2
On repeat imaging during admission, computed tomography (CT) of the chest, abdomen, and pelvis was significant for extensive thickening, nodularity, and enhancement of the peritoneum and omentum, read as consistent with carcinomatosis (Figures 1-3).
Contrast enhanced CT, axial view, mid abdomen. (a) Completed October 2016 with benign findings. (b) Completed November 2016 with extensive thickening, nodularity, and enhancement of the peritoneum and omentum. (c) Completed June 2017 with benign findings.
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fig3
On repeat imaging during admission, computed tomography (CT) of the chest, abdomen, and pelvis was significant for extensive thickening, nodularity, and enhancement of the peritoneum and omentum, read as consistent with carcinomatosis (Figures 1-3).
PET/CT imaging of the body performed in June 2017. (a) Coronal Body. (b) Axial upper abdomen. (c) Axial mid abdomen. (d) Axial low abdomen. Findings of diffuse and permeative abnormal hypermetabolic activity throughout the cavity corresponding to thickening and caking of the omentum and small pelvic free fluid. Hypermetabolic activity corresponding to multiple low attenuating liver lesions and retrosternal iliac chain nodes suspicious for malignancy.
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fig4
PET/CT was significant for hypermetabolic activity throughout peritoneal cavity with omental caking (Figures 4-5).
PET/CT imaging of the body performed in November 2016. (a) Coronal Body. (b) Axial upper abdomen. (c) Axial mid abdomen. (d) Axial low abdomen. Substantial resolution of patient's peritoneal involvement of malignancy and other changes suggesting malignancy noted. Previously noted liver lesions resolved.
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PET/CT was significant for hypermetabolic activity throughout peritoneal cavity with omental caking (Figures 4-5).