1. MedPix Medical Image Database COW - Case of the Week Case Contributor: MS-4 USU Teaching File Affiliation: Uniformed Services University

2. MedPix No: 2294 - History Pt Demographics: Age = 68 y.o. Gender = woman This 68 y.o. woman was asymptomatic Downloaded by (-1)

3. MedPix No: 2294 - EXAM & LABS Guaiac positive stool

4. Scout film Scout film - showing no calcifications or areas of opacities that may present as a false positive during barium enema. Downloaded by (-1)

5. Fluoroscopy Fluoroscopy - showing area of irregular wall in ascending colon. Downloaded by (-1)

6. Supine plain film Supine plain film - showing small filling defects in ascending colon, which do not follow the nature contours of bowel wall. Downloaded by (-1)

7. Colon Cancer Fluoroscopy spot films showing area of irregular wall in ascending colon. Downloaded by (-1)

8. Colon Cancer Fluoroscopy spot films showing area of irregular wall in ascending colon. Downloaded by (-1)

9. Colon Cancer Fluoroscopy spot films showing area of irregular wall in ascending colon. Downloaded by (-1)

10. Colon Cancer Fluoroscopy spot films showing area of irregular wall in ascending colon. Downloaded by (-1)

11. FINDINGS

12. DIFFERENTIAL DIAGNOSIS What is your Differential Diagnosis?

13. Diagnosis: Adenocarcinoma of Large Intestine Dx Confirmed by:

14. DISCUSSION