64-year-old female with diarrhea, nausea, vomiting and abdominal pain. History of see differential colitis with abnormal guaiac two days ago. Evaluate for colitis. Previous history of multiple myeloma. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Hepatic hypodensities in the right lobe at axial image 31/162 and 38/162 were present in 2005 and most likely represent benign cysts. However, the lesion at image 31/162 has a larger size and may be better characterized for staging, if needed, with dedicated CT or MRI. This lesion now measures 12 mm in diameter. SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Multiple bilateral renal cortical hypodensities are present compatible with simple cysts. These are stable since 2005. Punctate calcifications in the renal pelves are most likely vascular. No hydronephrosis or hydroureter.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Focal right eighth anterior rib expansion at axial image 38/162 is stable since 2005 and most likely represents changes of multiple myeloma.OTHER: No significant abnormality notedPELVIS:UTERUS, ADNEXAE: Status post hysterectomy.BLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: There is a 4-cm segment of thickened narrowed sigmoid colon at axial image 107/162 with sharp zones of transition has appearance consistent with colon cancer. The remainder of the colon wall thickness and lumen diameter are normal.BONES, SOFT TISSUES: Degenerative changes in the lumbosacral spine and pelvis. Multiple stable lesions in the pelvis and hip compatible with history of multiple myeloma. These are stable since 2/5.OTHER: No significant abnormality noted
4 cm lesion in sigmoid with appearance suggesting colon cancer. Right hepatic lobe hypodensity was present in 2005, but appears larger. Bony changes compatible with stable multiple myeloma.