RADIOLOGY: GASTROINTESTINAL: GI: Case# 33880: CARCINOMA OF THE DISTAL TRANSVERSE COLON, PRODUCING HIGH GRADE OBSTRUCTION. 52 year old female with diabetes for 28 years with history of gastroparesis admitted with nausea and vomiting which seemed to be improving. Patient recently developed worsening nausea and vomiting and also diarrhea. Dilated loops of large and small bowel to the level of splenic flexure worrisome for obstructive mass. Recommend barium enema to further evaluate this area. 2. Small amount of ascites. 3. Appendicolith - probably incidental finding. 4. Markedly dilated gallbladder without evidence of inflammation. 5. Ill defined air space opacities in the left lingula.