MedPix Medical Image Database COW - Case of the Week Case Contributor: MS-4 USU Teaching File Affiliation: Uniformed Services University

MedPix No: History Pt Demographics: Age = 68 y.o. Gender = woman This 68 y.o. woman was asymptomatic Downloaded by (-1)

MedPix No: EXAM & LABS Guaiac positive stool

Scout film Scout film - showing no calcifications or areas of opacities that may present as a false positive during barium enema. Downloaded by (-1)

Fluoroscopy Fluoroscopy - showing area of irregular wall in ascending colon. Downloaded by (-1)

Supine plain film Supine plain film - showing small filling defects in ascending colon, which do not follow the nature contours of bowel wall. Downloaded by (-1)

Colon Cancer Fluoroscopy spot films showing area of irregular wall in ascending colon. Downloaded by (-1)

Colon Cancer Fluoroscopy spot films showing area of irregular wall in ascending colon. Downloaded by (-1)

Colon Cancer Fluoroscopy spot films showing area of irregular wall in ascending colon. Downloaded by (-1)

Colon Cancer Fluoroscopy spot films showing area of irregular wall in ascending colon. Downloaded by (-1)

FINDINGS

DIFFERENTIAL DIAGNOSIS What is your Differential Diagnosis?

Diagnosis: Adenocarcinoma of Large Intestine Dx Confirmed by:

DISCUSSION