CASE 125

History: A 68-year-old woman presents with right upper quadrant abdominal pain of 4 weeks’ duration associated with nausea and vomiting.

1. What should be included in the differential diagnosis of the imaging finding shown in the figures? (Choose all that apply.)

A. Metastatic carcinoma

B. Crohn’s disease

C. Colon carcinoma

D. Pneumatosis coli

E. Ischemic colitis

2. What is the most common origin of hematogenous metastases to the colon?

A. Melanoma

B. Lung carcinoma

C. Breast carcinoma

D. Gastric carcinoma

3. What is the most common site of metastatic disease to the gastrointestinal (GI) tract from a breast cancer primary?

A. Colon

B. Stomach

C. Esophagus

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