1. Difficult to Identify: Malignant Primary Peritoneal Mesothelioma
Beth S. Zha, MD, PhD, Margaret Flanagan, MD, Caley Coulson, MD, Kanishka W. Garvin, MD 
The American Journal of Medicine 
Volume 128, Issue 11, Pages (November 2015)
DOI: /j.amjmed
Copyright © 2015 Elsevier Inc. Terms and Conditions

2. Figure 1
Computed tomography (CT) images of the abdomen and pelvis were obtained. (A) The first abdominal CT image demonstrated an enlarged gallbladder (*) and omental infiltrates and haziness consistent with omental caking (bracket). (B) A second abdominal CT image revealed liver surface lesions (solid arrows), ascites (dashed arrow), and increased stomach distension (*).
The American Journal of Medicine  , DOI: ( /j.amjmed )
Copyright © 2015 Elsevier Inc. Terms and Conditions

3. Figure 2
Gross pathology offered more information. (A) A nodular omentum and small bowel were evident. (B) More nodular deposits were evident on the peritoneum.
The American Journal of Medicine  , DOI: ( /j.amjmed )
Copyright © 2015 Elsevier Inc. Terms and Conditions

4. Figure 3
Omental histology confirmed sarcomatoid, spindled, malignant peritoneal mesothelioma. (A) Calretinin (100×). (B) Vimentin (100×). (C) Pan-keratin (100×). (D) Wilms tumor-1 protein (200×).
The American Journal of Medicine  , DOI: ( /j.amjmed )
Copyright © 2015 Elsevier Inc. Terms and Conditions