AJR ARRS: Your Link to CME
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Fig. 4. —59-year-old woman with metastatic linitis plastica to rectum. Patient underwent total hysterectomy with bilateral salpingo-oophorectomy for cervical cancer (squamous cell type) 21 months previously and then underwent palliative transverse colon colostomy. Contrast-enhanced CT scan shows heterogeneous rectal wall thickening with recurrent pelvic mass (black arrows) in area of vaginal stump. Posterior bladder wall is thickened because of tumor invasion. Note minimal perirectal lymphadenopathy (arrowheads), fluid collection in presacral space, and thickening of both ureteral walls (white arrows). Cystoscopic examination confirmed tumor invasion to bladder.





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