Abdominal Pain and Heart Failure: A Grim Diagnosis

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Abdominal Pain and Heart Failure: A Grim Diagnosis Abdul Hamid Alraiyes, MD, Faysal Altahawi, Khaldoon Shaheen, MD, M. Chadi Alraies, MD  The American Journal of Medicine  Volume 125, Issue 1, Pages 34-36 (January 2012) DOI: 10.1016/j.amjmed.2011.07.008 Copyright © 2012 Terms and Conditions

Figure A contrast-enhanced arterial phase CT scan of the abdomen revealed hepatomegaly with extensive discrete enhancement consistent with a metastatic process: (A) The largest discrete lesion measured 11.6×9.2×8.0 cm and had a necrotic center (arrow); (B and C) The enhancement pattern (arrows) extended into the inferior vena cava (B) and right atrium (C), with right-sided effusion noted. The American Journal of Medicine 2012 125, 34-36DOI: (10.1016/j.amjmed.2011.07.008) Copyright © 2012 Terms and Conditions