Case of the Month

Our Imaging Case of the Month is presented as a part of the Imaging Department's residency teaching program. Each month a resident collaborates with one of our attending imaging physicians to present an interesting case to the Cedars-Sinai medical community. The case is used to teach both imaging and other residents at Cedars-Sinai. Below is the current Case of the Month.

Thomas J. Learch, MD

Submitted by Catherine Evans, MD, and Thomas J. Learch, MD. A 55-year-old female with no significant past medical history presents to the emergency department with complaint of diffuse, sharp and intermittent epigastric pain for one month. The pain worsens post-prandially. Review of systems is significant for increased appetite and weight gain over the same period. She also notes constipation over the last week.

Physical exam demonstrates normoactive bowel sounds and a soft, nondistended abdomen. There is moderate epigastric and suprapubic tenderness to palpation. No masses or hepatosplenomegaly are appreciated.

Labs reveal mild hypercalcemia. All other biomarkers are negative.

What is the positive finding in the CT below?

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