Woman with diarrhea and abnormal EGD.
Findings: There is a large lobulated soft tissue mass in the right hemiabdomen that extends from the root of mesentery, anterior to the 3rd portion of the duodenum, to the right lower quadrant. Central calcification with the mass is present, as well as mild spiculations extending from the mass into the adjacent mesenteric fat. There is a focal enhancing soft tissue nodule adjacent or along the wall of the distal ileum in the right lower quadrant in close proximity to the mesenteric mass. There are multiple prominent right lower quadrant mesenteric lymph nodes and few enlarged left periaortic lymph nodes. There are also two hypervascular lesion (only one shown) in the right posterior hepatic lobe.
- Carcinoid tumor with metastasis
- Sclerosing mesenteritits
- Intestinal metastases and lymphoma
- Small bowel carcinoma
Diagnosis: Carcinoid metastasis