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RADIOLOGY: ABDOMEN: Case# 33027: CARCINOMATOSIS. 80 year old female with history of umbilical herniorraphy and abdominal distention. 1) Large amount of ascites with multiple peritoneal based masses as described above. The appearance is consistent with peritoneal carcinomatosis from an as yet undetermined source. The differential diagnosis would include ovarian carcinoma, adenocarcinoma of the gastrointestinal tract, carcinoma of the breast, and renal cell carcinoma. There is apparent metastasis to the umbilical hernia site as well as to a 2 cm right inguinal node. 2) Small bilateral pleural effusions, right greater than left. 3) Simple left renal cyst.

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Peter Anderson
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