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RADIOLOGY: GASTROINTESTINAL: GI: Case# 34071: 1)LARGE GASTRIC MASS WITH NODAL METASTASES IN ALL ADJACENT NODE GROUPS AND EXTENDING DOWN PARAAORTIC AND AORTOCAVAL NODE CHAINS TO THE LEVEL OF THE AORTIC BIFURCATION; 2) LIVER METASTASES; 3) MEDIASTINAL METASTASIS. Patient is a 47 year old male with upper GI bleed. 1. Large gastric mass with nodal metastases in all adjacent node groups and extending down paraaortic and aortocaval node chains to the level of the aortic bifurcation or just below. There are also liver metastases in both lobes. Chest CT performed at same sitting showed mediastinal nodal metastases also. Please see separately dictated chest CT report for findings. 2. Bullet fragment in the right femoral head.

Author
Peter Anderson
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